Jacob William Goergen, RN, ACNP-BC - Medicare Nurse Practitioner in Atlanta, GA

Jacob William Goergen, RN, ACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Atlanta, Georgia. He went to Vanderbilt University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Grady Memorial Hospital Corporation and his current practice location is 550 Peachtree St Ne, Office 3304 Davis-fischer Building, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 686-7858.

Jacob William Goergen is licensed to practice in Georgia (license number RN226582) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699019604.

Contact Information

Jacob William Goergen, RN, ACNP-BC
550 Peachtree St Ne, Office 3304 Davis-fischer Building,
Atlanta, GA 30308-2208
(404) 686-7858
Not Available

Map and Direction




Provider's Profile

Full NameJacob William Goergen
GenderMale
SpecialityNurse Practitioner
Experience12 Years
Location550 Peachtree St Ne, Atlanta, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob William Goergen attended and graduated from Vanderbilt University School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1699019604
  • Provider Enumeration Date: 11/15/2012
  • Last Update Date: 11/15/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7416100789
  • Enrollment ID: I20130117000273

Medical Identifiers

Medical identifiers for Jacob William Goergen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699019604NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care RN226582 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grady Memorial HospitalAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grady Memorial Hospital Corporation7517032998262

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob William Goergen allows following entities to bill medicare on his behalf.
Entity NameGrady Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114243813
PECOS PAC ID: 7517032998
Enrollment ID: O20100723000311
Entity NameCtca Physicians Group Of Georgia, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447520333
PECOS PAC ID: 4880841212
Enrollment ID: O20120820001117

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob William Goergen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob William Goergen, RN, ACNP-BC
157 Lake Wellington Dr,
Kingsland, GA 31548-5733

Ph: (912) 227-1717
Jacob William Goergen, RN, ACNP-BC
550 Peachtree St Ne, Office 3304 Davis-fischer Building,
Atlanta, GA 30308-2208

Ph: (404) 686-7858

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.