Active NPI
Jacqueline Daley, APRN, FNP-C
- Family Nurse Practitioner
- McDonough, GA
National Provider Identifier
1972058444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN202657
- Practice address
- 925 Woodland BRK
McDonough, GA 30253-5578 - Phone
- (770) 728-5983
- NPI assigned
- Aug 24, 2016
- Last updated
- Jan 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN202657 | GA | Primary |
Addresses
Primary practice location
925 Woodland BRK
McDonough, GA 30253-5578
Mailing address
925 Woodland BRK
McDonough, GA 30253-5578
Phone (770) 728-5983
Other names 1
- Jacqueline Davis
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN202657 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients |
Locations
1372 Peachtree St NE
Ste 100
Atlanta, GA 30309
Phone (470) 964-1700
Organizations & group practices 2
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": "1471996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1972058444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 WOODLAND BRK",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302535578",
"telephone_number": "770-728-5983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 WOODLAND BRK",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302535578",
"telephone_number": "770-728-5983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALEY",
"first_name": "JACQUELINE",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-24",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN202657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "DAVIS",
"code": "5",
"type": "Other Name"
}
]
}
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- Sarah Elizabeth Dailey
- Joy Stephanie Daise, PA-C
- Daisy's Love Homecare Services, LLC
- Silvia Aanoa Daley
- Lori A. Dampier, LMT
- Dance of Dawn Birth Services and Education LLC
- Kathy Frye Dangar
- Ltanya Daniel, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.