Individual provider Active NPI

Jessi Kailyn-Colvin Jacobi, FNP-C

  • Family Nurse Practitioner
  • Smyrna, GA
National Provider Identifier
1265319677
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN339983 Issued in GA
Practice address
2659 Rolling View Dr SE
Smyrna, GA 30080-2625
Phone
(256) 312-7825
NPI assigned
Aug 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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 RN339983 GA Primary

Addresses

Primary practice location

2659 Rolling View Dr SE
Smyrna, GA 30080-2625

Mailing address

2659 Rolling View Dr SE
Smyrna, GA 30080-2625
Phone (256) 312-7825

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
I20251103000081 GA Practitioner - Nurse Practitioner 5193214732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology,P.C.Group PAC ID 2769556554, 5 clinicians

Practice addresses (Care Compare)

4904 Timber Ridge Dr
Suite 101
Douglasville, GA 30135-1831
Phone (770) 739-7546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN339983GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology,P.C. CurrentSince Sep 1, 2025 Accepting new patients

Locations

3459 Acworth Due West Rd NW
Acworth, GA 30101
Phone (678) 521-1105

4904 Timber Ridge Dr
Ste 101
Douglasville, GA 30135
Phone (770) 637-5563

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1265319677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 ROLLING VIEW DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802625",
            "telephone_number": "256-312-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 ROLLING VIEW DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802625",
            "telephone_number": "256-312-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBI",
        "first_name": "JESSI",
        "middle_name": "KAILYN-COLVIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN339983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.