NPI age
2 years
Enumerated 2023-07-31
● Active
Type 1 · Individual
DR. Jacques Prejean, MD
Prejean is 1 of 6 military health care provider providers in Fort Moore and 1 of 40 in Georgia.
Primary specialty
Military Health Care Provider
Plus 1 subspecialty
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2023-08-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 40 active military health care provider providers in Georgia.
NPI age
2 years
↓ 9 yr below median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 12% of peers with subspecialties
NPI lifetime · 2023 → 2026
2023-07Enumerated in NPPES
2023
2026
Where they practice
Practice location
6600 Van Aalst Blvd
Fort Moore, GA 319052102
Mailing address
6600 Van Aalst Blvd
Fort Moore, GA 319052102
Specialties
-
Military Health Care Provider PrimaryActive duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Part of a multi-provider practice. 115 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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