Jessica Fuentes, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN205535 Issued in GA

Practice address

4225 University Ave
Columbus, GA 31907-5679

Phone

(706) 507-8620

Fax

(706) 568-2323

NPI assigned

Jun 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment NPD
• Urology Center of Columbus, LLC

  • Specialist
  • Columbus, GA
  • NPI 1659374825
  Medicare reassignment
• Rice and Lake Urology LLP

  • Urology Physician
  • Columbus, GA
  • NPI 1609923796
  NPD (past)

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508396755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9499 FOREST CROWN DR",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318086965",
            "telephone_number": "706-992-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 UNIVERSITY AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075679",
            "telephone_number": "706-507-8620",
            "fax_number": "706-568-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "JESSICA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN205535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald G Freund, LPC
• Keith Brady Frey
• Tiffany Freymoyer
• Elizabeth Ann Friend
• Frist Physician Services LLC
• Katie Fulks, PHARM.D.
• Paul Fulks, LMFT
• Brandon Full, DDS
• Fuller Life Chiropractic Center
• Fuller Rehabilitation & Consulting Services, Inc.

• Family Nurse Practitioner in Columbus, GA
• Providers in Columbus, 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 Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.