IndividualActive
Jacques Prejean, MD
NPI 1770264806 · Military Health Care Provider · Fort Moore, GA
Provider details
- NPI number
- 1770264806
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Student, Health Care
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% 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
6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Phone: (206) 484-7480
Approximate (ZIP-level) locationGet directions
Mailing address
6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Registry dates
- Enumerated
- 2023-07-31
- Last updated
- 2023-08-03
- Certified
- 2023-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.