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Export Provider Record NPI 1114264652
Jaclyn Marie SchwartzD.P.M.
Active
NPI Number1114264652
NPI TypeNPI-1 Individual
SpecialtyPodiatrist
Provider Details
NPI1114264652
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2013-01-03
Last Updated2022-01-10
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont Center
Atlanta, GA 30305-1717
United States
Phone: (404) 504-5678 | Fax: (404) 446-1957
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Primary Practice Address2400 Mount Zion Pkwy, Kaiser Permanente Southwood Comprehensive Medical Cente
Jonesboro, GA 30236-2500
United States
Phone: (770) 663-8011 | Fax: (770) 754-9820
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Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No213ES0103X – Podiatrist, Foot & Ankle SurgeryGAPOD001186
Yes213E00000X – PodiatristGAPOD001186
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About NPI 1114264652

Jaclyn Marie Schwartz D.P.M. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1114264652. The primary specialty listed is Podiatrist. The provider is located in Jonesboro, GA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2013-01-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1114264652?

NPI 1114264652 belongs to Jaclyn Marie Schwartz D.P.M., a Podiatrist in Jonesboro, GA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1114264652 active?

The current status of NPI 1114264652 in the NPPES registry is Active. The record was last updated on 2022-01-10.

What specialty is NPI 1114264652?

NPI 1114264652 is classified under the taxonomy Podiatrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1114264652?

You can verify NPI 1114264652 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1114264652?

The primary practice address on file for NPI 1114264652 is 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1114264652 issued?

NPI 1114264652 was first issued (enumerated) on 2013-01-03. The NPPES record was last updated on 2022-01-10.

Practice Location Map

Jaclyn Marie Schwartz is located at 2400 Mount Zion Pkwy, Jonesboro, GA. Use the map below to find directions or verify the practice location.

📍 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Jaclyn Marie Schwartz. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1114264652. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Podiatrist, Foot & Ankle SurgeryPOD001186GA
PodiatristPOD001186GA
Data Verified from CMS NPPES Last synced: 2026-06-27 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162