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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JENNIFER DAWN GAUGHAN
NPI 1891600557
Nurse Practitioner in Grovetown, GA

Active since August 17, 2026PECOS Enrolled
716 PORTER LN, GROVETOWN, GA 30813(732) 232-6033 Get Directions Write a Review

NPPES record added: August 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jennifer Dawn Gaughan NPPES

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

JENNIFER DAWN GAUGHAN (NPI 1891600557) is an individual nurse practitioner in Grovetown, Georgia, licensed in Georgia (303080) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891600557
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER DAWN GAUGHAN
Location Address716 PORTER LNGrovetown, GA 30813-2271
Mailing Address716 Porter LnGrovetown, GA 30813-2271 · (732) 232-6033
Phone(732) 232-6033
Sole ProprietorYes
Enumeration DateAugust 17, 2026
NPPES CertifiedAugust 17, 2026
✔ NPI 1891600557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · 303080
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
716 PORTER LN, Grovetown, GA 30813
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Dawn Gaughan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30813 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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 Jennifer Gaughan's NPI number?

The NPI number for Jennifer Gaughan is 1891600557. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Where is Jennifer Gaughan located?

Jennifer Gaughan practices at 716 Porter Ln, Grovetown, GA 30813. The listed phone number is (732) 232-6033.

What is Jennifer Gaughan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jennifer Gaughan enrolled in Medicare?

Yes. Jennifer Gaughan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Gaughan was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.