Individual provider Active NPI

Jeff R. Jean, FNP-BC

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1154848182
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP179648 Issued in GA
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

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PC 425 clinicians
The Emory Clinic Inc 3,507 clinicians

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 Hospital, Atlanta, GA, CCN 110010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP179648GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Anchor L.P. Current Accepting new patients
Wellstreet of Georgia PC CurrentSince Oct 8, 2021 Accepting new patients
The Emory Clinic Inc CurrentSince Dec 1, 2017 Accepting new patients
Uhs of Anchor L.P. CurrentSince Sep 21, 2023 Accepting new patients
Advanced Anesthesia Associates, PC PastSince Sep 21, 2023 Accepting new patients
Meredith Burns, Psy.D., P.C. Past Accepting new patients
Jr Health Consultant LLC Nurse Practitioner PastSince Mar 20, 2022 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

  • Direct secure messaging: 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.

View all 15

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

Verify at the official NPI Registry.