Individual provider Active NPI

Jeffrey Scott Charpentier, M.D.

  • Neurology Physician
  • Dawsonville, GA
National Provider Identifier
1740283969
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
055113 Issued in GA
Practice address
81 Prominence CT Ste 200
Dawsonville, GA 30534-6372
Phone
(770) 219-6520
NPI assigned
May 23, 2005
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 055113 GA Primary

Addresses

Primary practice location

81 Prominence CT Ste 200
Dawsonville, GA 30534-6372

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

4460 Austell Rd
Austell, GA 30106-1844
Phone (770) 941-4716

Other identifiers 2

IdentifierTypeStateIssuer
P00239852OtherGARAILROAD MEDICARE
467509244IMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcharpentier172392@nghs.gadirect.net Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050425000719 GA Practitioner - Neurology 7517905094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1315 Jesse Jewell Pkwy NE
Suite 300
Gainesville, GA 30501-3822
Phone (770) 219-6520

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas Neurology Associates, P.C. Neurology CurrentSince Jul 1, 2016 Accepting new patients
Northeast Georgia Physicians Group Inc Neurology CurrentSince May 23, 2023 Accepting new patients
American Health Imaging of Georgia, LLC PastSince Nov 21, 2020 Accepting new patients
Pro Radiology, LLC PastSince Jul 21, 2024 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients
Northwest Neurology, P.C. Neurology Past Accepting new patients

Locations

4586 Timber Ridge Dr
Ste 180
Douglasville, GA 30135
Phone (678) 838-2180

1315 Jesse Jewell Pkwy NE
Ste 300
Gainesville, GA 30501
Phone (770) 219-6520

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

4374 Atlanta Hwy
Ste 129
Hiram, GA 30141
Phone (678) 838-2180

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JACJCA
  • Direct secure messaging: jcharpentier172392@nghs.gadirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1740283969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 PROMINENCE CT STE 200",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346372",
            "telephone_number": "770-219-6520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4460 Austell Rd",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301061844",
            "country_code": "US",
            "telephone_number": "770-941-4716",
            "fax_number": "770-941-3047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARPENTIER",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "055113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00239852",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "467509244I",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcharpentier172392@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "81 Prominence Ct Ste 200",
            "city": "Dawsonville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305346372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

Verify at the official NPI Registry.