Individual provider Active NPI

Jaekea Coar, NP

  • Family Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1861741100
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
185308 Issued in GA
Practice address
4851 Russell Pkwy Ste 500
Warner Robins, GA 31088-9305
Phone
(470) 765-4420
NPI assigned
Aug 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 185308 GA Primary
Family Medicine Physician 207Q00000X 185308 GA

Addresses

Primary practice location

4851 Russell Pkwy Ste 500
Warner Robins, GA 31088-9305

Mailing address

4851 Russell Pkwy Ste 500
Warner Robins, GA 31088-9305

Other practice location 1

701 Bluebird Blvd
Fort Valley, GA 31030-5085
Phone (478) 654-2300

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
I20130701000227 GA Practitioner - Nurse Practitioner 9931349651 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical College of Georgia School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

420 Charter Blvd
Suite 402
Macon, GA 31210-0722
Phone (478) 575-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
185308GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Orthopedic Surgery & Sports Medicine, P.C. CurrentSince May 6, 2013 Accepting new patients
Piedmont Medical Care Corporation Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Houston Orthopedic Surgery & Sports Medicine, P.C. CurrentSince May 6, 2013 Accepting new patients
Minuteclinic LLC Family CurrentSince Feb 28, 2014 Accepting new patients
Piedmont Providers LLC PastSince May 4, 2025 Accepting new patients

Locations

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

420 Charter Blvd
Ste 402
Macon, GA 31210
Phone (478) 474-0394

5095 Peachtree Pkwy
Norcross, GA 30092
Phone (770) 209-9299

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

4851 Russell Pkwy
Ste 500
Warner Robins, GA 31088
Phone (470) 765-4420

3051 Watson Blvd
Warner Robins, GA 31093
Phone (478) 953-4563

3051 Watson Blvd
Ste 525
Warner Robins, GA 31093
Phone (478) 953-4563

Interoperability endpoints

  • Direct secure messaging: jcoar433608@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 5

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": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1861741100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 RUSSELL PKWY STE 500",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 RUSSELL PKWY STE 500",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889305",
            "telephone_number": "470-765-4420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Bluebird Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Valley",
            "state": "GA",
            "postal_code": "310305085",
            "country_code": "US",
            "telephone_number": "478-654-2300",
            "fax_number": "478-654-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COAR",
        "first_name": "JAEKEA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "185308",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "185308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.