JACOB WILLIAM GOERGEN RN ACNP-BC NPI 1699019604

NPI Information

  • NPI: 1699019604
  • Provider Name: JACOB WILLIAM GOERGEN, RN, ACNP-BC
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 550 PEACHTREE ST NE
    OFFICE 3304 DAVIS-FISCHER BUILDING
    ATLANTA, GA
    ZIP 30308
  • Phone: (404) 686-7858

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NPI Details

Jacob William Goergen, RN, ACNP-BC is an acute care nurse practitioner in Atlanta, GA with 13 years of experience. Jacob William Goergen, RN, ACNP-BC NPI is 1699019604. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

550 PEACHTREE ST NE
OFFICE 3304 DAVIS-FISCHER BUILDING
ATLANTA, GA
ZIP 30308-208
Phone: (404) 686-7858

The NPI 1699019604 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.

  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Critical care, each additional 30 minutes (HCPCS:99292)

The enumeration date for this NPI number is 11/15/2012 and was last updated on 11/15/2012.

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
1363LA2100XNurse PractitionerAcute CareRN226582GEORGIAYes

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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