Jean Gerald Nougaisse, PA-C is a
Orthopaedic Surgery based in Duluth, Georgia. Jean Gerald Nougaisse is licensed to practice in Georgia (license number 004761) and his current practice location is
3400 Mcclure Bridge Rd Bldg B, Duluth, Georgia. He can be reached at his office (for appointments etc.) via phone at
(678) 957-8801.
NPI number for Jean Gerald Nougaisse is 1164486817 and his current mailing address is 2512 Kelman Pl, Dacula, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164486817.
Provider's Profile
| Full Name | Jean Gerald Nougaisse |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 3400 Mcclure Bridge Rd Bldg B, Duluth, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164486817
- Provider Enumeration Date: 04/12/2006
- Last Update Date: 03/21/2012
Medical Identifiers
Medical identifiers for Jean Gerald Nougaisse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164486817 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | 005668 (New York) | Secondary |
| 207X00000X | Orthopaedic Surgery | 004761 (Georgia) | Primary |
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. Jean Gerald Nougaisse is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jean Gerald Nougaisse, PA-C
2512 Kelman Pl,
Dacula, GA 30019-7099
Ph: (770) 277-2424 | Jean Gerald Nougaisse, PA-C
3400 Mcclure Bridge Rd Bldg B,
Duluth, GA 30096-6675
Ph: (678) 957-8801 |
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