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● Active Type 1 · Individual

Jacob Leedekerken

Emergency Medicine·Gainesville, GA· NPI 1003312067 · Enumerated 2018 · 8 years on NPI
Leedekerken is 1 of 47 emergency medicine providers in Gainesville and 1 of 2,027 in Georgia.
NPI age
8 years
Enumerated 2018-03-30
Primary specialty
Emergency Medicine
Licensed in
NC
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-04-10
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2027 active emergency medicine providers in Georgia.

NPI age
8 years
↓ 9 yr below median (17 yr)
State licenses
1 state
29% of peers hold multiple states
Subspecialties
0
41% of peers hold subspecialties

NPI lifetime · 2018 → 2025

2018-03Enumerated in NPPES
2018 2025

Where they practice

Practice location
743 Spring St Ne
Gainesville, GA 305013715
📞 7702191200
Mailing address
743 Spring St Ne
Gainesville, GA 305013715

Specialties

  • Emergency Medicine Primary
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    NC license #238485 taxonomy 207P00000X

Medicare directory context

Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare, retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.

Medicare specialties
Emergency Medicine
Medical school
George Washington University School Of Medicine
Graduation year 2018
Largest Medicare group
76 members
Largest listed enrollment group

Facility affiliations reported by CMS

  • Georgia Emergency Department Services, P.c.

Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered. View the CMS dataset →

Practice context

Part of a multi-provider practice. 698 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new emergency medicine provider has been added in Gainesville in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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