Individual provider Active NPI

Jessica Mae Ikinci, NP

  • Family Nurse Practitioner
  • Cedartown, GA
National Provider Identifier
1144901570
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN323019 Issued in GA
Practice address
2370 Rockmart Hwy
Cedartown, GA 30125-6029
Phone
(770) 748-7818
Fax
(770) 748-7819
NPI assigned
Jul 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN323019 GA Primary

Addresses

Primary practice location

2370 Rockmart Hwy
Cedartown, GA 30125-6029

Mailing address

475 Turner McCall Blvd NE
Rome, GA 30165-2735
Phone (706) 368-8894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241108000413 GA Practitioner - Nurse Practitioner 1557895919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Floyd Healthcare Management IncGroup PAC ID 5193633386, 133 clinicians
Adventist Health System Georgia IncGroup PAC ID 4486568037, 247 clinicians

Practice addresses (Care Compare)

2370 Rockmart Hwy
Suite 100
Cedartown, GA 30125-6029
Phone (770) 748-7818

475 Turner McCall Blvd NE
Unit B6 7
Rome, GA 30165-2735
Phone (706) 368-8894

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd Healthcare Management Inc CurrentSince Sep 1, 2024 Accepting new patients
Floyd Healthcare Management Inc Family CurrentSince Sep 1, 2024 Accepting new patients
Polk Medical Center, Inc PastSince Mar 11, 2025 Accepting new patients

Locations

2370 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-7818

1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212

2370 Rockmart Hwy
Ste 100
Cedartown, GA 30125
Phone (770) 748-7818

420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278

Interoperability endpoints

  • Direct secure messaging: jikinci2933952@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1144901570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 TURNER MCCALL BLVD NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652735",
            "telephone_number": "706-368-8894",
            "fax_number": "706-368-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 ROCKMART HWY",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301256029",
            "telephone_number": "770-748-7818",
            "fax_number": "770-748-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKINCI",
        "first_name": "JESSICA",
        "middle_name": "MAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN323019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedartown, GA

Sources for this page

Verify at the official NPI Registry.