NPIMap

Individual provider Active NPI

Jennifer Duke, M.D.

  • Family Medicine Physician
  • Macon, GA
National Provider Identifier
1932159266
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
50615 Issued in GA
Practice address
540 Charter Blvd Ste 100
Macon, GA 31210-4881
Phone
(478) 471-0089
Fax
(478) 471-0708
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 50615 GA Primary

Addresses

Primary practice location

540 Charter Blvd Ste 100
Macon, GA 31210-4881

Mailing address

540 Charter Blvd Ste 100
Macon, GA 31210-4881
Phone (478) 471-0089

Other identifiers 1

IdentifierTypeStateIssuer
655837134CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050222000470 GA Practitioner - Family Practice 9638122492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
North Macon Family Healthcare AssociatesGroup PAC ID 9830101799, 5 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

420 Lamar Rd N
Macon, GA 31210-7110
Phone 4784710089131

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50615GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Macon Family Healthcare Associates Family Medicine CurrentSince Mar 1, 2006 Accepting new patients
Freddy N. Gaton Family Medicine Past Accepting new patients

Locations

420 Lamar Rd N
Macon, GA 31210
Phone (478) 471-0089

540 Charter Blvd
Ste 400
Macon, GA 31210
Phone (478) 471-0710

540 Charter Blvd
Ste 100
Macon, GA 31210
Phone (478) 471-0089

Interoperability endpoints

  • Direct secure messaging: jennifer.duke@nmf.eclinicaldirectplus.com

Organizations & group practices 3

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 8

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1932159266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 CHARTER BLVD STE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104881",
            "telephone_number": "478-471-0089",
            "fax_number": "478-471-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 CHARTER BLVD STE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104881",
            "telephone_number": "478-471-0089",
            "fax_number": "478-471-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKE",
        "first_name": "JENNIFER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "50615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "655837134C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.