MRS. JESSICA R COBURN FNP-C NPI 1245871763

NPI Information

  • NPI: 1245871763
  • Provider Name: MRS. JESSICA R COBURN, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 MARKET PLACE BLVD STE 301
    CARTERSVILLE, GA
    ZIP 30121
  • Phone: (678) 290-4817

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NPI Details

MRS. Jessica R Coburn, FNP-C is a family nurse practitioner in Cartersville, GA. MRS. Jessica R Coburn, FNP-C NPI is 1245871763. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 MARKET PLACE BLVD STE 301
CARTERSVILLE, GA
ZIP 30121-717
Phone: (678) 290-4817

The NPI 1245871763 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Extended patient service without direct patient contact, first hour (HCPCS:99358)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Established patient home visit, typically 1 hour (HCPCS:99350)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
  • New patient custodial care facility, group care, or assisted living visit, typically 45 minutes (HCPCS:99326)

The enumeration date for this NPI number is 10/6/2019 and was last updated on 10/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily23255SOUTH CAROLINANo
2363LF0000XNurse PractitionerFamilyRN330929GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PG1120MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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