NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Avanelle V Jack, MD

Nephrology Physician in Brunswick, GA · enumerated 2006 · practices at Brunswick Urgent Care, LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316996671

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Dr. Avanelle V Jack
Credential MD
Sex Female
Practice address 208 Scranton Connector Ste 117, Brunswick, GA, 31525
Phone (912) 264-5961
Fax (912) 262-9499
Enumeration date May 6, 2006
Last updated in NPPES Oct 24, 2017

Taxonomy & licenses

207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians · License MD.022645 (LA) Secondary
207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians · License 78666 (GA) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
1491501 Medicaid LA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Avanelle Jack?
Avanelle Jack is registered in NPPES with the primary taxonomy of Nephrology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-10-24.