Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Leedekerken

Individual provider Emergency Medicine Physician · NPI 1003312067

Jacob Leedekerken is an Emergency Medicine in Gainesville, Georgia. Graduated from George Washington University School of Medicine in 2018, 8 years ago. Practices with Mississippi Emergency Department Services PC, a 40-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Trained at
George Washington University School of Medicine
Licensed in
NC
In the registry since
2018
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Practice location Address checks out

743 Spring St NE
Gainesville, GA 30501-3715
Phone: (770) 219-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 238485 (NC)

Record details

NPI number1003312067
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2018
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025
Mailing address743 Spring St Ne, Gainesville, GA 30501-3715

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Mississippi Emergency Department Services Pc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Gainesville