Active NPI
Jeff R. Jean, FNP-BC
- Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN-NP179648
- Practice address
- 1364 Clifton Rd NE
Atlanta, GA 30322-1059 - Phone
- (404) 712-7109
- NPI assigned
- Aug 30, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN-NP179648 | GA | Primary |
Addresses
Primary practice location
1364 Clifton Rd NE
Atlanta, GA 30322-1059
Mailing address
2548 Walnut Ridge Way
Stockbridge, GA 30281-9214
Phone (678) 876-7880
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180209002340 | GA | Practitioner - Nurse Practitioner | 5193085280 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstreet of Georgia PCThe Emory Clinic Inc
Practice addresses (Care Compare)
1280 Dogwood Dr SE
Conyers, GA 30013-5046
Phone (404) 994-4662
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941
Hospital & facility affiliations
- Emory University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP179648 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs of Anchor L.P. | Current | Accepting new patients | |
| Wellstreet of Georgia PC | Current | Accepting new patients | |
| The Emory Clinic Inc | Current | Accepting new patients | |
| Uhs of Anchor L.P. | Current | Accepting new patients | |
| Advanced Anesthesia Associates, PC | Past | Accepting new patients | |
| Meredith Burns, Psy.D., P.C. | Past | Accepting new patients | |
| Jr Health Consultant LLC | Nurse Practitioner | Past | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941
5454 Yorktowne Dr
College Park, GA 30349
Phone (678) 251-3200
83 Upper Riverdale Rd SW
Ste 300
Riverdale, GA 30274
Phone (678) 284-5620
Interoperability endpoints
- jjean42884@direct.emory.org
Organizations & group practices 15
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.
-
- Ambulatory Surgical Clinic/Center
- Lagrange, GA
- NPI 1285912600
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1295748531
-
- Ambulatory Surgical Clinic/Center
- Decatur, GA
- NPI 1306472063
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1346403854
-
- Ambulatory Surgical Clinic/Center
- Jonesboro, GA
- NPI 1386165504
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1811765902
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1023359627
-
- Ambulatory Surgical Clinic/Center
- Tucker, GA
- NPI 1952098667
-
- Psychiatric Hospital
- Atlanta, GA
- NPI 1023095429
Hospital & facility affiliations 2
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": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1154848182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2548 WALNUT RIDGE WAY",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302819214",
"telephone_number": "678-876-7880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1364 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221059",
"telephone_number": "404-712-7109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN",
"first_name": "JEFF",
"middle_name": "R.",
"name_prefix": "Mr.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-30",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "APRN-NP179648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.