Jacobe Hollis, MSN, APRN, NP-C in Decatur, GA

Jacobe Hollis, MSN, APRN, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Decatur, Georgia. Her current practice location is 10202 Waldrop Pl, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 630-5461.

Jacobe Hollis is licensed to practice in Georgia (license number RN176691) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457714677.

Contact Information

	Jacobe Hollis, MSN, APRN, NP-C
	10202 Waldrop Pl, Decatur, GA 30034-7431
	(770) 630-5461
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacobe Hollis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	10202 Waldrop Pl, Decatur, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457714677
Provider Enumeration Date: 04/04/2016
Last Update Date: 08/20/2020

Medicare PECOS Information:

PECOS PAC ID: 6002193745
Enrollment ID: I20170504002657

Medical Identifiers

Medical identifiers for Jacobe Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457714677	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN176691 (Georgia)	Primary

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. Jacobe Hollis allows following entities to bill medicare on her behalf.

Entity Name	Tlc Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750677241 PECOS PAC ID: 5496924490 Enrollment ID: O20110809000175

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. Jacobe Hollis 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 Address	Practice Location Address
Jacobe Hollis, MSN, APRN, NP-C 10202 Waldrop Pl, Decatur, GA 30034-7431 Ph: () -	Jacobe Hollis, MSN, APRN, NP-C 10202 Waldrop Pl, Decatur, GA 30034-7431 Ph: (770) 630-5461

Reviews and Comments

Nurse Practitioner Nurses in Decatur, GA

Antoinette Denise Gamble, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd., Decatur, GA 30033 Phone: 404-321-6111
Sophia P Georges, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1039 Highland Lake Cir, Decatur, GA 30033 Phone: 513-348-2926
Tammy Vardeman Aguilar, RN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 W Ponce De Leon Ave, Suite #242, Decatur, GA 30030 Phone: 404-778-7622 Fax: 404-778-7645
Abdul Niazi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3745 Fax: 404-294-3710
Vivian S. Hayes, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd # 170c, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-235-3038
Jessica Willis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2722 N Decatur Rd, Decatur, GA 30033 Phone: 678-467-7598
Ernest Leonard Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2561 Captains Row, Decatur, GA 30035 Phone: 404-839-2886

Jacobe Hollis, MSN, APRN, NP-C - Medicare Nurse Practitioner in Decatur, GA