MR. JARRED RICKETTS PA
NPI 1740724814
Physician Assistant - Surgical in Gainesville, GA

Active since December 08, 2016PECOS EnrolledAccepts Medicare Assignment
200 S ENOTA DR NE, SUITE 380, GAINESVILLE, GA 30501(770) 219-7099(770) 219-7923 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2021, Feb 6, 2017 (2 updates tracked since 2017).

About Mr. Jarred Ricketts Pa NPPES

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

MR. JARRED RICKETTS PA (NPI 1740724814) is an individual surgical provider in Gainesville, Georgia, licensed in Georgia (008254) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1740724814
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JARRED RICKETTSCredential: PA
Location Address200 S ENOTA DR NE, SUITE 380Gainesville, GA 30501-3473
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Fax(770) 219-7923
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 8, 2016
Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
NPI 1740724814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in GA · 008254
200 S ENOTA DR NE, Gainesville, GA 30501

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

Mr. Jarred Ricketts Pa 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 ID5395029623
PECOS Enrollment IDI20170303001469
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.

Areas of Expertise CMS Part B claims 6

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.

Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
43 services42 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
42 services41 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients
Coronary artery bypass using vein or artery graft, 2 grafts 33518
A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.
23 services22 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Other Providers at the Same Location NPPES 19

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

Pediatrics (Pediatric Cardiology)
200 S ENOTA DR NE, SUITE 380
GAINESVILLE, GA 30501
Pediatrics
200 S ENOTA DR NE, SUITE 150
GAINESVILLE, GA 30501
Physician Assistant (Medical)
200 S ENOTA DR NE, SUITE 200
GAINESVILLE, GA 30501
Nurse Practitioner (Acute Care)
200 S ENOTA DR NE, SUITE 200
GAINESVILLE, GA 30501
Psychiatry & Neurology (Psychiatry)
200 S ENOTA DR NE, SUITE 300
GAINESVILLE, GA 30501
Nurse Practitioner
200 S ENOTA DR NE, SUITE 200
GAINESVILLE, GA 30501
Physician Assistant
200 S ENOTA DR NE, STE 300
GAINESVILLE, GA 30501
Psychiatry & Neurology (Psychiatry)
200 S ENOTA DR NE
GAINESVILLE, GA 30501

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 Jarred Ricketts's NPI number?

The NPI number for Jarred Ricketts is 1740724814. It was assigned to this individual provider in the NPPES registry on December 8, 2016.

Where is Jarred Ricketts located?

Jarred Ricketts practices at 200 S Enota Dr NE Suite 380, Gainesville, GA 30501. The listed phone number is (770) 219-7099.

What is Jarred Ricketts's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jarred Ricketts enrolled in Medicare?

Yes. Jarred Ricketts 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 Jarred Ricketts affiliated with any hospitals?

According to CMS data, Jarred Ricketts is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee, Northside Hospital Gwinnett and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Jarred Ricketts was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.