Jake Paul Lundquist, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F09201627 Issued in GA

Practice address

63 Pleasant Hill Rd
Blairsville, GA 30512-2291

Phone

(706) 745-2229

NPI assigned

Nov 21, 2020

Last updated

Sep 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Privia Medical Group of Georgia LLCGroup PAC ID 4284951542, 454 clinicians

Pruitthealth Hospice IncGroup PAC ID 2264344217, 42 clinicians

Southland Union Emergency Medical Services, LLCGroup PAC ID 8224308770, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Union General Hospital Hospital, Blairsville, GA, CCN 110051
• Chatuge Regional Hospital Hospital, Hiawassee, GA, CCN 111324

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: jake.lundquist.1@8042.direct.athenahealth.com

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

• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857
  Medicare reassignment Care Compare group NPD
• Pruitthealth Hospice, Inc

  dba PruittHealth Hospice - Swainsboro

  • Community Based Hospice Care Agency
  • Swainsboro, GA
  • NPI 1013955749
  Medicare reassignment Care Compare group NPD
• Southland Union Emergency Medical Services, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Blairsville, GA
  • NPI 1164954715
  Medicare reassignment Care Compare group NPD
• The Raisig Clinic and Wellness Center

  • Family Medicine Physician
  • Ellijay, GA
  • NPI 1063695724
  Medicare reassignment NPD
• Southland Bainbridge Hospitalist Group, LLC

  • Hospitalist Physician
  • Bainbridge, GA
  • NPI 1356735336
  Medicare reassignment
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1356907273
  NPD
• Pruitthealth Hospice, Inc.

  dba PruittHealth Hospice - Blue Ridge

  • Community Based Hospice Care Agency
  • Blue Ridge, GA
  • NPI 1417995556
  NPD
• Pruitthealth Hospice, Inc.

  dba PruittHealth Hospice - Eastern Carolina

  • Community Based Hospice Care Agency
  • Greenville, NC
  • NPI 1992744361
  NPD

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

• Chatuge Regional Hospital Inc

  • Critical Access Hospital
  • Hiawassee, GA
  • NPI 1326028978
  Care Compare affiliation
• Union County Hospital Authority

  dba Union General Hospital

  • General Acute Care Hospital
  • Blairsville, GA
  • NPI 1487684122
  Care Compare affiliation

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1396348280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 244",
            "city": "MC CAYSVILLE",
            "state": "GA",
            "postal_code": "305550244",
            "telephone_number": "716-969-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PLEASANT HILL RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305122291",
            "telephone_number": "706-745-2229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6050 Appalachian Hwy",
            "address_purpose": "LOCATION",
            "city": "Blue Ridge",
            "state": "GA",
            "postal_code": "305134283",
            "country_code": "US",
            "telephone_number": "706-632-0027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDQUIST",
        "first_name": "JAKE",
        "middle_name": "PAUL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-21",
        "last_updated": "2022-09-20",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN244697",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F09201627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thomas Charles Lovelace, HADS,HIS
• Emma Gene Lyles
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• John A Manfredi, MD
• Mark Baker, Inc. (Baker Chiropractic Clinic)

• Family Nurse Practitioner in Blairsville, GA
• Providers in Blairsville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.

Verify at the official NPI Registry.