Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Jacqueline H Moder
Nurse Practitioner in Waycross, GA · enumerated 2020.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1568071777
See something wrong? Report a correction
Registry record
Entity type Individual (Type 1)
Name Jacqueline H Moder
Sex Female
Practice address 1912 Memorial Dr Ste E, Waycross, GA, 31501
Phone (912) 283-7100
Enumeration date Jul 24, 2020
Last updated in NPPES Jul 24, 2020
Taxonomy & licenses
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 11006710 (FL) Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License RN240089 (GA) Primary
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.
Frequently asked questions
Where does Jacqueline Moder practice?
The practice location on file with NPPES is in Waycross, GA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jacqueline Moder?
The National Provider Identifier (NPI) for Jacqueline Moder is 1568071777, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-07-24.