Jacquelene Lynnette Dovell, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN276379 Issued in GA

Practice address

794 S Park St
Carrollton, GA 30117-3826

Phone

(404) 948-3019

NPI assigned

Dec 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jacquelene Vargas Former name

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians

Practice addresses (Care Compare)

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.

• Piedmont Professional Services, LLC

  • Nephrology Physician
  • Stockbridge, GA
  • NPI 1104088905
  Medicare reassignment Care Compare group NPD
• One Stop Medical Services

  • Family Medicine Physician
  • Douglasville, GA
  • NPI 1790098457
  Medicare reassignment NPD
• Clark Robinson, M.D.,P.C.

  • Family Medicine Physician
  • Douglasville, GA
  • NPI 1750422242
  NPD (past)
• One Stop Medical Clinic

  • Clinic/Center
  • Douglasville, GA
  • NPI 1669796090
  NPD (past)
• Piedmont Medical Care Corporation

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1912956046
  NPD (past)

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1659084366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 NORTH AVE NE APT 3119",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303083068",
            "telephone_number": "708-207-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 S PARK ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173826",
            "telephone_number": "404-948-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVELL",
        "first_name": "JACQUELENE",
        "middle_name": "LYNNETTE",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN276379",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN276379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELENE",
            "last_name": "VARGAS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Ryan Dobry, PHARMD
• Nicole Robinson Dodson, LPC
• Danielle Doebereiner-Brown, NP
• Mary M Domville, P.A.
• Donna Thomas Moses, DMD, PC
• Dr. Pete Chiropractic Clinic, LLC
• Monicha Hamil Drew, D.M.D.
• Robert David Drew, D.M.D.
• DRS Gentry Wellborn & McGhee
• Alison K. Drummond, OTR

• Nurse Practitioner in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.
• 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.