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

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: October 25, 2026.

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
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Other Names 1

Former Name (1)Dominique Jacqueline Mcintosh

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

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

Peachtree Immediate Care Fp, LLC
30 mi
Family Medicine
3827 JIMMY LEE SMITH PKWY
Hiram, GA 30141
  • Reassigned Medicare billing, Georgia enrollment
  • 551 clinicians in this Medicare group
NPI 1437194156 (770) 222-8900
Community Care Health Network LLC
209 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Georgia enrollment
  • 274 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627

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

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
3720 HOLCOMB BRIDGE RD
NORCROSS, GA 30092
Gwinnett County (770) 263-1000
DR. ELIZABETH H LITTLEFIELD M.D.
Family Medicine
3720 HOLCOMB BRIDGE RD
NORCROSS, GA 30092
Gwinnett County (770) 263-1000
DR. LINNETTE J SELLS D.O.
Family Medicine
3720 HOLCOMB BRIDGE RD
NORCROSS, GA 30092
Gwinnett County (770) 263-1000
DR. DARRYL S GROSS M.D.
Family Medicine
3720 HOLCOMB BRIDGE RD
NORCROSS, GA 30092
Gwinnett County (770) 263-1000
SYDNEY COX JOYCE PA-C
Physician Assistant
3720 HOLCOMB BRIDGE RD
NORCROSS, GA 30092
Gwinnett County (770) 263-1000

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 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.

Where is Dominique Mcintosh located?

Dominique Mcintosh practices at 3720 Holcomb Bridge Rd, Peachtree Corners, GA 30092. The listed phone number is (770) 263-1000.

What is Dominique Mcintosh's specialty?

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

Is Dominique Mcintosh enrolled in Medicare?

Yes. Dominique Mcintosh is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dominique Mcintosh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Mcintosh reassigns Medicare benefits to 2 organizations: Peachtree Immediate Care Fp, LLC (Hiram, GA) and Community Care Health Network LLC (Nashville, TN). 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 Dominique Mcintosh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dominique Mcintosh was last updated on July 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.