Jacqueline H. Moder
Nurse Practitioner · Waycross, GA
Jacqueline H. Moder is a nurse practitioner with a practice address in Waycross, Georgia, and NPI 1568071777, issued on Jul 24, 2020. Check the license (Georgia RN240089, as entered in NPPES) with the Georgia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jacqueline H. Moder
- Primary taxonomy
- Nurse Practitioner 363L00000X
- License numbers
- RN240089 GA
11006710 FL
Self-reported in NPPES; status is on the state search - Practice location
- 1912 Memorial Dr Ste E, Waycross, GA 31501
- Phone
- (912) 283-7100
- Enumerated
- Jul 24, 2020
- Record last updated
- Jul 24, 2020 (not updated in 6 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest nurse practitioner records → All 3,109 in Georgia → Look up another NPI →
Also registered at 1912 Memorial Dr Ste E
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Anthony BrysonFamily Nurse Practitioner1073451126
- Summer HillFamily Nurse Practitioner1215581392
Verify Jacqueline H. Moder in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license RN240089Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Jacqueline H. Moder among 3,109 nurse practitioner records in Georgia
Jacqueline H. Moder is one of 3,109 nurse practitioner records with a practice address in Georgia. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2020, is newer than 65% of them.
- NPI issued2020 · 65% of these records are older, 28% newer
- In a Medicare fileNo · 75% of these records are
- In the CMS Doctors and Clinicians fileNo · 56% of these records are
- Record last updated2020 · 43% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
27 nurse practitioner records list a practice address in Waycross
They are 27 of the 514 NPPES records with a practice address in Waycross, and 3,109 nurse practitioner records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 3,109 in Georgia → Every provider in Waycross → Nurse Practitioner nationwide →
The 8 nurse practitioner records with the nearest ZIP codes
- Kelly Blackmon, APRNWaycross, GA 315011992110688
- Deena BoydWaycross, GA 315011851858062
- Dallas Boyett, APRNWaycross, GA 315011760966378
- Connie Bussey, NPWaycross, GA 315011942239587
- Pamela Carter, NPWaycross, GA 315011073543435
- Nancy Futch, NPWaycross, GA 315011568496057
- Kristen Ganas, RNWaycross, GA 315011336627421
- Olivia Gibson, RN/APRNWaycross, GA 315011942233762
Common questions
What is Jacqueline H. Moder's NPI number?
Jacqueline H. Moder's National Provider Identifier (NPI) is 1568071777, issued on Jul 24, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Jacqueline H. Moder located?
The NPPES record lists a practice address at 1912 Memorial Dr Ste E, Waycross, GA, 31501. Phone: (912) 283-7100. Providers update this record themselves, so call before visiting.
How can I verify Jacqueline H. Moder's license?
NPPES lists Georgia license number RN240089, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.