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JESSE ALEXANDER CODNER MD
NPI 1902301799
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since March 26, 2018PECOS Enrolled
1364 CLIFTON RD NE STE 100, ATLANTA, GA 30322(404) 712-2000 Get Directions Write a Review

NPPES record last updated: March 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jesse Alexander Codner Md NPPES

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

JESSE ALEXANDER CODNER MD (NPI 1902301799) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902301799
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJESSE ALEXANDER CODNERCredential: MD
Location Address1364 CLIFTON RD NE STE 100Atlanta, GA 30322-1059
Mailing Address1820 Peachtree St Nw Unit 811Atlanta, GA 30309-1894 · (404) 713-0072
Phone(404) 712-2000
Sole ProprietorNo
Enumeration DateMarch 26, 2018
✔ NPI 1902301799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1364 CLIFTON RD NE STE 100, Atlanta, GA 30322
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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)

Jesse Alexander Codner Md 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.

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 Jesse Codner's NPI number?

The NPI number for Jesse Codner is 1902301799. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Jesse Codner located?

Jesse Codner practices at 1364 Clifton Rd NE Ste 100, Atlanta, GA 30322. The listed phone number is (404) 712-2000.

What is Jesse Codner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jesse Codner enrolled in Medicare?

Yes. Jesse Codner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jesse Codner was last updated on March 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.