JACQUELINE M ANGLADE MD
NPI 1720196728
Obstetrics & Gynecology in Tucker, GA
About Jacqueline M Anglade Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE M ANGLADE MD (NPI 1720196728) is an individual obstetrics & gynecology provider in Tucker, Georgia, licensed in Georgia (052879) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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
Jacqueline M Anglade Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Anglade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30084 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUCKER, GA 30084
TUCKER, GA 30084
TUCKER, GA 30084
TUCKER, GA 30084
TUCKER, GA 30084
TUCKER, GA 30084
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 Jacqueline Anglade's NPI number?
The NPI number for Jacqueline Anglade is 1720196728. It was assigned to this individual provider in the NPPES registry on August 29, 2006. The provider is also known as Jacqueline Nancy Murrell.
Where is Jacqueline Anglade located?
Jacqueline Anglade practices at 200 Crescent Centre Park Department Of Obstetrics & Gynecology, Tucker, GA 30084. The listed phone number is (770) 496-3525.
What is Jacqueline Anglade's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Jacqueline Anglade enrolled in Medicare?
Yes. Jacqueline Anglade 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 organization bills Medicare for Jacqueline Anglade's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Anglade reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). The 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 Jacqueline Anglade'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 Jacqueline Anglade was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Jacqueline M Anglade, MD · NPI 1720196728
Obstetrics & Gynecology physician in Tucker, Georgia. Individual provider, active in the CMS NPPES registry since August 29, 2006.
## Identity
- **NPI:** 1720196728 (Entity type: Individual)
- **Enumerated:** August 29, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 052879 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 CRESCENT CENTRE PARK, DEPARTMENT OF OBSTETRICS & GYNECOLOGY, Tucker, GA 30084
- **Phone:** (770) 496-3525 · **Fax:** (770) 496-3709
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Buffalo School Of Medicine, class of 1997
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN H51812; Medicare ID-Type Unspecified 16BBCNH
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Source: [NPI Profile](https://npiprofile.com/npi/1720196728) · Data from the CMS NPPES public registry.