EDDIE D MCQUAKER NP
NPI 1902626823
Nurse Practitioner in Decatur, GA

Q: What is Eddie Mcquaker's NPI number?

The NPI number for Eddie Mcquaker is 1902626823. It was assigned to this individual provider in the NPPES registry on October 15, 2024.

Q: What is Eddie Mcquaker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eddie Mcquaker was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 15, 2024PECOS Enrolled

523 CHURCH ST, DECATUR, GA 30030(404) 589-9040 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Eddie D Mcquaker Np NPPES

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

EDDIE D MCQUAKER NP (NPI 1902626823) is an individual nurse practitioner in Decatur, Georgia, licensed in Georgia (APRN-NP293030) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Marietta, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902626823

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameEDDIE D MCQUAKERCredential: NP

Location Address523 CHURCH STDecatur, GA 30030-2515

Mailing Address523 Church StDecatur, GA 30030-2515 · (404) 589-9040

Phone(404) 589-9040

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 15, 2024

Last NPPES UpdateOctober 29, 2025

NPPES CertifiedOctober 29, 2025

✔ NPI 1902626823 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 · APRN-NP293030

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.

523 CHURCH ST, Decatur, GA 30030

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Secondary Practice Location 1

Location 11650 County Services Pkwy SW Ste 200Marietta, GA 30008-4010 · Phone (770) 514-2464

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eddie D Mcquaker Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799212999

PECOS Enrollment IDI20241230002970

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 30030 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 9

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

JAMIAN COLEMAN

Counselor (Professional)