MISS JACQUELENE LYNNETTE DOVELL FNP-C
NPI 1659084366
Nurse Practitioner in Carrollton, GA

Active since December 28, 2022PECOS EnrolledAccepts Medicare Assignment
794 S PARK ST, CARROLLTON, GA 30117(404) 948-3019 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 4, 2026, Mar 14, 2023, Dec 28, 2022 (3 updates tracked since 2022).

About Miss Jacquelene Lynnette Dovell Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS JACQUELENE LYNNETTE DOVELL FNP-C (NPI 1659084366) is an individual nurse practitioner in Carrollton, Georgia, licensed in Georgia (RN276379) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1659084366
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMISS JACQUELENE LYNNETTE DOVELLCredential: FNP-C
Location Address794 S PARK STCarrollton, GA 30117-3826
Mailing Address641 North Ave Ne Apt 3119Atlanta, GA 30308-3068 · (708) 207-1531
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 28, 2022
Last NPPES UpdateJune 4, 20263 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1659084366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN276379
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN276379 (GA)
794 S PARK ST, Carrollton, GA 30117

Other Names 1

Former Name (1)Jacquelene Vargas Np

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Jacquelene Lynnette Dovell Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597137612
PECOS Enrollment IDI20230217000992
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacquelene Dovell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
6559 CHURCH ST
Douglasville, GA 30134
  • Reassigned Medicare billing, Georgia enrollment
  • 6 clinicians in this Medicare group
Nephrology
1855 HUDSON BRIDGE RD
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 565 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
794 S PARK ST
CARROLLTON, GA 30117
Pharmacist
794 S PARK ST
CARROLLTON, GA 30117
Pharmacist
794 S PARK ST
CARROLLTON, GA 30117
Pharmacist
794 S PARK ST
CARROLLTON, GA 30117
Pharmacist
794 S PARK ST
CARROLLTON, GA 30117
Pharmacist
794 S PARK ST
CARROLLTON, GA 30117
Pharmacy
794 S PARK ST
CARROLLTON, GA 30117
Pharmacist
794 S PARK ST
CARROLLTON, GA 30117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelene Dovell's NPI number?

The NPI number for Jacquelene Dovell is 1659084366. It was assigned to this individual provider in the NPPES registry on December 28, 2022. The provider is also known as Jacquelene Vargas Np.

Where is Jacquelene Dovell located?

Jacquelene Dovell practices at 794 S Park St, Carrollton, GA 30117. The listed phone number is (404) 948-3019.

What is Jacquelene Dovell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jacquelene Dovell enrolled in Medicare?

Yes. Jacquelene Dovell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jacquelene Dovell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelene Dovell reassigns Medicare benefits to 2 organizations: One Stop Medical Services (Douglasville, GA) and Piedmont Professional Services, LLC (Stockbridge, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacquelene Dovell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacquelene Dovell accept?

Health plans from Ambetter Health list Jacquelene Dovell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacquelene Dovell was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.