Jacquiece Liddell, AGACNP
NPI 1467988543 · Acute Care Nurse Practitioner · Ellenwood, GA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacquiece Liddell, AGACNP is a Acute Care Nurse Practitioner provider in Ellenwood, GA (NPI 1467988543).
Provider details
- NPI number
- 1467988543
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN206975 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-05-10
- Last updated
- 2025-11-08
- Certified
- 2025-11-08
Frequently asked questions
- What is Jacquiece Liddell's NPI number?
- Jacquiece Liddell's National Provider Identifier (NPI) is 1467988543, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacquiece Liddell's specialty?
- Jacquiece Liddell is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacquiece Liddell located?
- Jacquiece Liddell's practice location on file with NPPES is 4357 Boxwood Trl, Ellenwood, GA 30294-6518.
- What is Jacquiece Liddell's phone number?
- The practice phone number listed in the NPPES registry for Jacquiece Liddell is (678) 517-7897.
- Does Jacquiece Liddell accept Medicare?
- Jacquiece Liddell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacquiece Liddell's NPI active?
- Yes — Jacquiece Liddell's NPI (1467988543) is active in the NPPES registry as of the last update on 2025-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.