JACEY MARIE COFFEY (NP-C) – Nurse Practitioner, NPI 1275085904

JACEY MARIE COFFEY (NP-C) is a healthcare provider. based in Macon, Georgia. specializing in Nurse Practitioner. They hold the professional credentials NP-C. They hold a License No. RN201525 (GA). The NPI Number for JACEY MARIE COFFEY (NP-C) is 1275085904

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JACEY MARIE COFFEY (NP-C)
NPI
1275085904
Phone
(478) 755-1560
Address
639 HEMLOCK ST
Enumeration Date
28 October 2016
Last Update Date
28 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4787551560
Graduation Year
2016 (10 years ago)
PAC ID
3375828775
Group Practice PAC ID
7012801590
Professional Enrollment ID
I20170328000380
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for JACEY MARIE COFFEY (NP-C)

  • 639, Hemlock Street, Macon, Bibb County, Georgia, 31201, United States

    SUITE 100

    MACON, GA 312016886

    Phone: (478) 755-1560

    Fax: (478) 755-1562

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2023-02-22 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($43).

Total Amount

$43

General + Research + Ownership

Payments

2

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-03-28

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
I20170328000380INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31201)

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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: 7012801590View full group profile
NameSpecialtyState
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineGA
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyGA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)GA

Reviews

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Frequently asked questions

Can I cross-check JACEY MARIE COFFEY (NP-C) using NPI 1275085904?
NPI 1275085904 belongs to JACEY MARIE COFFEY (NP-C); compare other details if you need extra assurance.
Is there an active status for JACEY MARIE COFFEY (NP-C)?
For scheduling context, JACEY MARIE COFFEY (NP-C) is shown as active in the registry.
What clinical focus is listed for JACEY MARIE COFFEY (NP-C)?
At a glance, JACEY MARIE COFFEY (NP-C) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JACEY MARIE COFFEY (NP-C)?
Travel planning: use Macon, Georgia as the reference point for JACEY MARIE COFFEY (NP-C), then confirm.
Does JACEY MARIE COFFEY (NP-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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