Individual provider Active NPI

Jeffrey L. Culpepper, M.D.

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1245222637
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
038212 Issued in GA
Practice address
1372 Peachtree St NE Ste 100
Atlanta, GA 30309-3203
Phone
(470) 964-1700
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 038212 GA Primary

Addresses

Primary practice location

1372 Peachtree St NE Ste 100
Atlanta, GA 30309-3203

Mailing address

PO Box 639295 Dept 93394
Cincinnati, OH 45263-9295
Phone (248) 266-4200

Other practice location 1

1856-14 Thompson Bridge Rd
Gainesville, GA 30501-1663
Phone (770) 534-2800

Other practice location 2

5100 E Broadway Blvd
Tucson, AZ 85711-3762
Phone (520) 613-3001

Other identifiers 1

IdentifierTypeStateIssuer
00658336CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL, AZ, FL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20100831000091 GA Practitioner - Family PracticePractitioner - Emergency Medicine 2567586308 Reassigns benefits to 3 organizations
I20250512001974 AL Practitioner - Family Practice 2567586308 Reassigns benefits to 1 organization
I20250923002316 AZ Practitioner - Family Practice 2567586308 Reassigns benefits to 1 organization
I20260430004543 FL Practitioner - Family Practice 2567586308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventhealth Senior Care IncGroup PAC ID 7618397886, 32 clinicians

Practice addresses (Care Compare)

2906 David Walker Dr
Eustis, FL 32726-6177
Phone (352) 363-5921

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
038212GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cartersville Family Medicine Family Medicine CurrentSince Jun 13, 2021 Accepting new patients
Southeast Medical Group, P.C. Family Medicine CurrentSince Jun 13, 2021 Accepting new patients
Vpa PC Family Medicine CurrentSince Jan 11, 2024 Accepting new patients
Archwell Health Professional Services of Arizona, LLC CurrentSince Sep 9, 2025 Accepting new patients
Vpa PC Family Medicine CurrentSince Jan 11, 2024 Accepting new patients
Archwell Health Professional Services of Alabama, LLC CurrentSince Mar 1, 2025 Accepting new patients
Northeast Georgia Medical Center, Inc. Past Accepting new patients

Locations

165 Bessemer Super Hwy
Midfield, AL 35228
Phone (205) 336-1534

4315 E Main St
Mesa, AZ 85205
Phone (480) 654-0260

5100 E Broadway Blvd
Tucson, AZ 85711
Phone (520) 613-3001

3400 Old Milton Pkwy
Ste C270
Alpharetta, GA 30005
Phone 7704421911233

1372 Peachtree St NE
Ste 100
Atlanta, GA 30309
Phone (470) 964-1700

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

17 Collins Dr
Cartersville, GA 30120
Phone (770) 386-9390

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Interoperability endpoints

  • Direct secure messaging: jeffrey.culpepper.p1@direct.nghcc.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 9

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 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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1245222637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295 DEPT 93394",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "248-266-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 PEACHTREE ST NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093203",
            "telephone_number": "470-964-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1856-14 Thompson Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305011663",
            "country_code": "US",
            "telephone_number": "770-534-2800",
            "fax_number": "770-534-2889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 E Broadway Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857113762",
            "country_code": "US",
            "telephone_number": "520-613-3001",
            "fax_number": "520-504-6481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULPEPPER",
        "first_name": "JEFFREY",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "038212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00658336C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.