MISS JACQUELINE JOYCE MUTHANGA KIGUNDU NP
NPI 1750833539
Nurse Practitioner - Family in Marietta, GA

Q: What is Jacqueline Kigundu's NPI number?

The NPI number for Jacqueline Kigundu is 1750833539. It was assigned to this individual provider in the NPPES registry on October 27, 2016.

Q: What is Jacqueline Kigundu's specialty?

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

Active since October 27, 2016PECOS Enrolled

100 PIEDMONT RD NE, MARIETTA, GA 30066(770) 795-9844 Get Directions Write a Review

NPPES record last updated: July 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2022, Oct 27, 2016 (2 updates tracked since 2016).

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About Miss Jacqueline Joyce Muthanga Kigundu Np NPPES

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

MISS JACQUELINE JOYCE MUTHANGA KIGUNDU NP (NPI 1750833539) is an individual family provider in Marietta, Georgia, licensed in Georgia (RN206345) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Page.

NPPES Registry Identity

NPI1750833539

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMISS JACQUELINE JOYCE MUTHANGA KIGUNDUCredential: NP

Location Address100 PIEDMONT RD NEMarietta, GA 30066-3636

Mailing Address100 Piedmont Rd NeMarietta, GA 30066-3636 · (770) 795-9844

Phone(770) 795-9844

Sole ProprietorNo

Enumeration DateOctober 27, 2016

Last NPPES UpdateJuly 9, 20222 updates tracked since enumeration

NPPES CertifiedJuly 9, 2022

✔ NPI 1750833539 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

Licenses✔ Licensed in GA · RN206345✔ Licensed in AZ · TRN203526

100 PIEDMONT RD NE, Marietta, GA 30066

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Secondary Practice Location 1

Location 1440 North Navajo drPage, AZ 86040 · Phone (928) 645-1700 · Fax (928) 645-1701

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Jacqueline Joyce Muthanga Kigundu Np 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

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

Minuteclinic LLC

538 mi

Family

7955 TUCKERMAN LN
Rockville, MD 20854

Reassigned Medicare billing, Georgia enrollment
350 clinicians in this Medicare group

NPI 1134191836 (866) 389-2727

Signify Health Medical Associates, PLLC

714 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Georgia enrollment
488 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

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 30066 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 8

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

DR. KENNETH EUGENE REED RPH

Pharmacist