MR. JEFF R. JEAN (FNP-BC) – Nurse Practitioner, NPI 1154848182

MR. JEFF R. JEAN (FNP-BC) is a healthcare provider. based in Stockbridge, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. APRN-NP179648 (GA). The NPI Number for MR. JEFF R. JEAN (FNP-BC) is 1154848182

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MR. JEFF R. JEAN (FNP-BC)
NPI
1154848182
Phone
(678) 876-7880
Address
2548 WALNUT RIDGE WAY
Enumeration Date
30 August 2017
Last Update Date
29 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709916044
Graduation Year
2017 (9 years ago)
PAC ID
5193085280
Group Practice PAC ID
4486684784
Professional Enrollment ID
I20180209002340
Address ID
GA303495317CO5454XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for MR. JEFF R. JEAN (FNP-BC)

  • 2548 WALNUT RIDGE WAY

    STOCKBRIDGE, GA 302819214

    Phone: (678) 876-7880

    Type: Mailing

  • Clifton Road Northeast, Emory Highlands, Druid Hills, DeKalb County, Georgia, 30329, United States

    ATLANTA, GA 303221059

    Phone: (404) 712-7109

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180209002340INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg10511$0
99214Established patient office or other outpatient visit, 30-39 minutes6665$0
99204New patient office or other outpatient visit, 45-59 minutes4343$0
99284Emergency department visit with moderate level of medical decision making3838$0
87804Detection test by immunoassay with direct visual observation for influenza virus2613$0
View full utilization report →

Insurance plans in this area (ZIP 30281)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486684784View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Is MR. JEFF R. JEAN (FNP-BC) listed with a National Provider Identifier?
Yes — MR. JEFF R. JEAN (FNP-BC) has NPI 1154848182 on file in the registry.
Would MR. JEFF R. JEAN (FNP-BC) appear as active to a payer?
You can treat MR. JEFF R. JEAN (FNP-BC) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MR. JEFF R. JEAN (FNP-BC)?
MR. JEFF R. JEAN (FNP-BC)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Georgia is MR. JEFF R. JEAN (FNP-BC) registered?
Use Stockbridge, Georgia as the headline location for MR. JEFF R. JEAN (FNP-BC) here.
When was this NPI issued?
Enumeration for MR. JEFF R. JEAN (FNP-BC) is noted as August 30, 2017 where the registry provides it.

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