DOMINIQUE JACQUELINE MCINTOSH FNP
NPI 1689198798
Nurse Practitioner - Family in Peachtree Corners, GA

Q: What is Dominique Mcintosh's NPI number?

The NPI number for Dominique Mcintosh is 1689198798. It was assigned to this individual provider in the NPPES registry on July 31, 2017. The provider is also known as Dominique Jacqueline Mcintosh.

Q: What is Dominique Mcintosh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since July 31, 2017PECOS Enrolled

3720 HOLCOMB BRIDGE RD, PEACHTREE CORNERS, GA 30092(770) 263-1000 Get Directions Write a Review

NPPES record last updated: July 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dominique Jacqueline Mcintosh Fnp NPPES

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

DOMINIQUE JACQUELINE MCINTOSH FNP (NPI 1689198798) is an individual family provider in Peachtree Corners, Georgia, licensed in Georgia (RN195908) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689198798

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDOMINIQUE JACQUELINE MCINTOSHCredential: FNP

Location Address3720 HOLCOMB BRIDGE RDPeachtree Corners, GA 30092-4795

Mailing Address6829 Danforth WayStone Mountain, GA 30087-6370

Phone(770) 263-1000

Sole ProprietorNo

Enumeration DateJuly 31, 2017

✔ NPI 1689198798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN195908

3720 HOLCOMB BRIDGE RD, Peachtree Corners, GA 30092

Open in Google Maps ↗

Other Names 1

Former Name (1)Dominique Jacqueline Mcintosh

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Jacqueline Mcintosh Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30092 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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 5

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

PHYSICIANS IMMEDIATE MED OF PEACHTREE CORNERS, P.C.

Family Medicine