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

Jacqueline Small

Individual provider Family Nurse Practitioner · NPI 1407415615

Jacqueline Small is a Nurse Practitioner in Cumming, Georgia. Graduated from University Alabama Birmingham - School of Optometry in 2018, 8 years ago. Practices with Gwinnett Center Medical Associates, a 4-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Trained at
University Alabama Birmingham - School of Optometry
Licensed in
GA
In the registry since
2019
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Practice location Address checks out

407 W Maple St # 101
Cumming, GA 30040
Phone: (770) 888-6697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN224391 (GA)

Record details

NPI number1407415615
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 11, 2019
Last updated in NPPESJune 11, 2019
Mailing address3910 Plantation Mill Dr, Buford, GA 30519-1970

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Graduated 2018 (8 years in practice)
Group practice Gwinnett Center Medical Associates — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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