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

Jennifer Roark, FNP

Individual provider Primary Care Nurse Practitioner · NPI 1952307670

Jennifer Roark, FNP is a Nurse Practitioner in Gainesville, Georgia. Qualified in 1992, 34 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
34
Licensed in
GA
In the registry since
2005
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1856 Thompson Bridge Rd Ste 14
Gainesville, GA 30501-1620
Phone: (770) 219-9460
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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 RN097864 (GA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence RN097864 (GA)

Record details

NPI number1952307670
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 27, 2005
Last updated in NPPESOctober 7, 2020
Certification dateOctober 7, 2020
Mailing addressPo Box 742616, Atlanta, GA 30374-2616

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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