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

Jacqueline Richart, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1801403654

Jacqueline Richart, NURSEPRACTITIONER is a Nurse Practitioner in Johns Creek, Georgia. Qualified in 2016, 10 years ago. Practices with Northside Primary Care Professional Services, LLC, a 311-clinician group and accepts Medicare assignment. Licensed in Georgia and Texas.

Years since qualifying
10
Licensed in
GA, TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

6300 Hospital Pkwy Ste 260
Johns Creek, GA 30097-1829
Phone: (770) 454-4685
Fax: (770) 454-4690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2016013133 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence RN280432 (GA)

Record details

NPI number1801403654
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedSeptember 25, 2020
Last updated in NPPESSeptember 1, 2022
Certification dateSeptember 1, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northside Primary Care Professional Services,Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Johns Creek