JODI MARIE PESCE (RN-C,MSN) – Family Nurse Practitioner, NPI 1417028655

JODI MARIE PESCE (RN-C,MSN) is a healthcare provider. based in Mcdonough, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials RN-C,MSN. They hold a License No. RN097976 NP (GA). The NPI Number for JODI MARIE PESCE (RN-C,MSN) is 1417028655

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
JODI MARIE PESCE (RN-C,MSN)
NPI
1417028655
Phone
(770) 957-1887
Address
50 KELLY RD
Enumeration Date
10 November 2006
Last Update Date
29 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709140116
Graduation Year
1996 (30 years ago)
PAC ID
8820387517
Group Practice PAC ID
8022901925
Professional Enrollment ID
I20200618002994
Address ID
GA302536097MC50XXXRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for JODI MARIE PESCE (RN-C,MSN)

  • 50, Kelly Road, McDonough, Henry County, Georgia, 30253, United States

    MCDONOUGH, GA 302536097

    Phone: (770) 957-1887

    Fax: (770) 957-6864

    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 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-01-11 • Largest payer in this snapshot: Baxter Healthcare ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Baxter Healthcare$23
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: 2020-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160519001267IFamily PracticeGATBD
I20200618002994INurse 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
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month39351$0
J1100Injection, dexamethasone sodium phosphate, 1 mg33636$0
36415Insertion of needle into vein for collection of blood sample200145$0
80053Blood test, comprehensive group of blood chemicals189142$0
99214Established patient office or other outpatient visit, 30-39 minutes184130$0
View full utilization report →

Insurance plans in this area (ZIP 30253)

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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: 8022901925View full group profile

Reviews

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Frequently asked questions

Can I verify JODI MARIE PESCE (RN-C,MSN) with an NPI only?
You can start verification with NPI 1417028655 for JODI MARIE PESCE (RN-C,MSN), then check state licensing separately.
Is JODI MARIE PESCE (RN-C,MSN) listed as active for patients and plans?
The listing shows JODI MARIE PESCE (RN-C,MSN) as active in the NPI system.
What is JODI MARIE PESCE (RN-C,MSN)'s specialty?
The listing groups JODI MARIE PESCE (RN-C,MSN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JODI MARIE PESCE (RN-C,MSN) based?
JODI MARIE PESCE (RN-C,MSN) is tied to Mcdonough, Georgia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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