Jacob William Goergen, RN, ACNP-BC
Nurse Practitioner, Acute Care in Atlanta, GA. Individual provider (NPI-1).
NPI number1699019604
StatusActive
Last updated in NPPESJul 23, 2026
Details
- NPI
- 1699019604
- Entity type
- Individual (NPI-1)
- Name
- Jacob William Goergen
- Credential
- RN, ACNP-BC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2012
- Certification date
- Jul 23, 2026
- Last updated
- Jul 23, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | RN226582 | GA | Yes |
| 364SA2100X | Clinical Nurse Specialist, Acute Care | NP226582 | GA |
Practice location
550 Peachtree St NeOffice 3304 Davis-Fischer Building
Atlanta, GA 30308-2208
Phone 404-686-7858
Mailing address
157 Lake Wellington DrKingsland, GA 31548-5733
Phone 912-227-1717
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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