JACOB WILLIAM GOERGEN RN, ACNP-BC
NPI 1699019604
Nurse Practitioner - Acute Care in Atlanta, GA
About Jacob William Goergen Rn, Acnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB WILLIAM GOERGEN RN, ACNP-BC (NPI 1699019604) is an individual acute care provider in Atlanta, Georgia, licensed in Georgia (RN226582) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Vanderbilt University School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacob William Goergen Rn, Acnp-bc 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Grady Memorial Hospital
Acute Care Hospitals · Atlanta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30308
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 Jacob Goergen's NPI number?
The NPI number for Jacob Goergen is 1699019604. It was assigned to this individual provider in the NPPES registry on November 15, 2012.
Where is Jacob Goergen located?
Jacob Goergen practices at 550 Peachtree St NE Office 3304 Davis-Fischer Building, Atlanta, GA 30308. The listed phone number is (404) 686-7858.
What is Jacob Goergen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jacob Goergen enrolled in Medicare?
Yes. Jacob Goergen 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.
Is Jacob Goergen affiliated with any hospitals?
According to CMS data, Jacob Goergen is affiliated with Grady Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Jacob Goergen was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.
# Jacob William Goergen, RN, ACNP-BC · NPI 1699019604
Acute Care physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since November 15, 2012.
## Identity
- **NPI:** 1699019604 (Entity type: Individual)
- **Enumerated:** November 15, 2012
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** RN226582 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 550 PEACHTREE ST NE, OFFICE 3304 DAVIS-FISCHER BUILDING, Atlanta, GA 30308-2208
- **Phone:** (404) 686-7858
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Vanderbilt University School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** July 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1699019604) · Data from the CMS NPPES public registry.