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

Jacob William Goergen, RN, ACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1699019604

Jacob William Goergen, RN, ACNP-BC is a Nurse Practitioner in Atlanta, Georgia. Graduated from Vanderbilt University School of Medicine in 2012, 14 years ago. Practices with Grady Memorial Hospital Corporation, a 363-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
14
Trained at
Vanderbilt University School of Medicine
Licensed in
GA
In the registry since
2012
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

550 Peachtree St NE Ofc 3304 Davis-Fischer Bldg
Atlanta, GA 30308-2208
Phone: (404) 686-7858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN226582 (GA)
Acute Care Clinical Nurse Specialist Taxonomy 364SA2100X · Licence NP226582 (GA)

Record details

NPI number1699019604
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , ACNP-BC
Sole proprietorNo
NPI enumeratedNovember 15, 2012
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Grady Memorial Hospital Corporation — 363 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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