Individual provider Active NPI

Jacent Barbara Nakigudde, FNP

  • Family Nurse Practitioner
  • Austell, GA
National Provider Identifier
1902306780
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP223000 Issued in GA
Practice address
3999 Austell Rd Ste 901
Austell, GA 30106-1160
Phone
(770) 809-3032
NPI assigned
Feb 18, 2018
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 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 APRN-NP223000 GA Primary
General Practice Registered Nurse 163WG0000X RN223000 GA

Addresses

Primary practice location

3999 Austell Rd Ste 901
Austell, GA 30106-1160

Mailing address

1263 Silvercrest CT
Powder Springs, GA 30127-6084
Phone (912) 224-2928

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
I20200120000236 GA Practitioner - Nurse Practitioner 3375978489 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians
Afc Physicians of Georgia PCGroup PAC ID 0345493375, 12 clinicians

Practice addresses (Care Compare)

1155 Concord Rd SE
Suite 200
Smyrna, GA 30080-4255
Phone (678) 600-5137

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

2810 Paces Ferry Rd SE
Suite 156
Atlanta, GA 30339-5700
Phone (470) 750-1301

3617 Roswell Nerd a
Atlanta, GA 30305-1111
Phone (404) 996-0196

3999 Austell Rd
Suite 901
Austell, GA 30106-1160
Phone (770) 809-3032

500 Nathan Dean Blvd
Suite 105
Dallas, GA 30157-4911
Phone (470) 624-6793

5001 Peachtree Blvd
Suite 115
Chamblee, GA 30341-2799
Phone (770) 458-8929

5749 Wendy Bagwell Pkwy
Hiram, GA 30141-2815
Phone (470) 523-4130

7820 Hickory Flat Hwy
Woodstock, GA 30188-2099
Phone (404) 353-5181

789 Church St NE
Suite 200
Marietta, GA 30060-7238
Phone (770) 881-7964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP223000GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Mar 1, 2023 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince May 15, 2020 Accepting new patients
TLC of Georgia LLC Family CurrentSince Dec 6, 2019 Accepting new patients
Afc Physicians of Georgia, PC CurrentSince Feb 1, 2026 Accepting new patients
Afc Physicians of Georgia, PC CurrentSince Feb 1, 2026 Accepting new patients
Milton Medical Group, LLC PastSince Dec 1, 2015 Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

3999 Austell Rd
Ste 901
Austell, GA 30106
Phone (770) 809-3032

5001 Peachtree Blvd
Ste 115
Chamblee, GA 30341
Phone (770) 458-8929

455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

4069 Cherokee St NW
Ste A
Kennesaw, GA 30144
Phone (470) 762-2060

3240 S Cobb Dr SE
Smyrna, GA 30080
Phone (770) 433-3420

400 Peachtree Industrial Blvd
Suwanee, GA 30024
Phone (770) 831-3857

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.

NPI Registry JSON

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

{
    "created_epoch": "1518912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1902306780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 SILVERCREST CT",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276084",
            "telephone_number": "912-224-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 AUSTELL RD STE 901",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061160",
            "telephone_number": "770-809-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKIGUDDE",
        "first_name": "JACENT",
        "middle_name": "BARBARA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-18",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP223000",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "RN223000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.