Deactivated NPI 1598830978 Deactivated / Inactive NPI Male Practitioner

Dr. Jack L Copeland , MD

Specialist • Gainesville, GA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Copeland has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 21, 2006

NPI Deactivation Date January 04, 2023

Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Copeland, MD was a registered Specialist practicing in Gainesville, GA. Throughout an active medical career spanning 17 years, Dr. Copeland provided care at the practice location at 725 JESSE JEWELL PKWY SE until profile deactivation on 2023-01-04.

Historical Medicare Part B clinical services included insertion of needle into vein for collection of blood sample, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, blood test, comprehensive group of blood chemicals. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

725 Jesse Jewell Pkwy Se

Gainesville, GA 305013834

Telephone 7705350191

Fax 7705352642

Associated Practice Facility / Clinic

🏢 The Longstreet Clinic, Pc Facility NPI 1326019977

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Gainesville, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 36.1 Yrs

Regional Practice Density

7 Specialists

Practicing in Gainesville, GA (979 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	123	116	$16.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	116	115	$42.00	$8.46
80053 Blood test, comprehensive group of blood chemicals	95	94	$65.00	$11.51
87804 Detection test by immunoassay with direct visual observation for influenza virus	48	24	$55.00	$15.89
81001 Manual urinalysis test with examination using microscope, automated	41	40	$23.00	$3.45
99213 Established patient office or other outpatient visit, typically 15 minutes	31	31	$115.00	$64.20
80048 Blood test, basic group of blood chemicals (calcium, total)	30	30	$49.00	$9.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	25	$40.00	$15.90
93000 Routine ekg using at least 12 leads including interpretation and report	27	27	$62.00	$16.29
81003 Automated urinalysis test	27	27	$25.00	$2.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$159.00	$105.12
82550 Creatine kinase (cardiac enzyme) level, total	15	15	$42.00	$7.09
84443 Blood test, thyroid stimulating hormone (TSH)	15	14	$96.00	$18.30
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$45.00	$16.20
83874 Myoglobin (muscle protein) level	14	14	$65.00	$14.06
84484 Troponin (protein) analysis, quantitative	14	14	$74.50	$12.22
83880 Natriuretic peptide (heart and blood vessel protein) level	14	14	$162.50	$38.47
82553 Creatine kinase (cardiac enzyme) level, mb fraction only	14	14	$66.00	$12.57
82962 Blood glucose (sugar) test performed by hand-held instrument	11	11	$18.00	$3.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	383	341	$16.00	$2.91
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	337	311	$42.00	$9.33
87804 Detection test by immunoassay with direct visual observation for influenza virus	276	136	$55.00	$16.03
80053 Blood test, comprehensive group of blood chemicals	264	251	$65.00	$12.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	153	116	$40.00	$19.04
81003 Automated urinalysis test	150	148	$25.00	$2.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	129	$159.00	$100.77
99213 Established patient office or other outpatient visit, typically 15 minutes	116	102	$115.00	$62.03
J0696 Injection, ceftriaxone sodium, per 250 mg	109	25	$30.00	$0.60
G0008 Administration of influenza virus vaccine	108	107	$25.00	$19.06
80048 Blood test, basic group of blood chemicals (calcium, total)	104	97	$49.00	$10.16
81000 Manual urinalysis test with examination using microscope, non-automated	89	81	$18.00	$3.91
93000 Routine ekg using at least 12 leads including interpretation and report	85	82	$62.00	$16.00
J1885 Injection, ketorolac tromethamine, per 15 mg	78	31	$20.00	$0.57
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	74	73	$45.00	$16.03
82962 Blood glucose (sugar) test performed by hand-held instrument	73	65	$18.00	$3.21
90756 Vaccine for influenza for injection into muscle	69	69	$30.00	$22.33
81001 Manual urinalysis test with examination using microscope, automated	57	53	$23.00	$3.79
83735 Magnesium level	52	52	$46.00	$7.98
94640 Inhalation treatment for airway obstruction or sputum production	49	43	$46.00	$16.69
86140 Measurement C-reactive protein for detection of infection or inflammation	48	45	$29.00	$6.26
84443 Blood test, thyroid stimulating hormone (TSH)	47	46	$96.00	$20.33
96360 Infusion into a vein for hydration, 31-60 minutes	44	41	$158.36	$41.84
82553 Creatine kinase (cardiac enzyme) level, mb fraction only	44	43	$66.00	$13.97
84484 Troponin (protein) analysis, quantitative	44	43	$74.50	$12.22
83874 Myoglobin (muscle protein) level	44	43	$65.00	$15.63
82550 Creatine kinase (cardiac enzyme) level, total	44	43	$42.00	$7.88
83880 Natriuretic peptide (heart and blood vessel protein) level	43	41	$162.50	$41.06
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	43	21	$15.00	$1.95
83690 Lipase (fat enzyme) level	40	39	$32.00	$8.18
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	38	31	$7.00	$4.58
84439 Thyroxine (thyroid chemical), free	33	33	$71.00	$10.91
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	32	31	$10.00	$0.13
J7030 Infusion, normal saline solution , 1000 cc	30	27	$37.00	$2.35
83036 Hemoglobin A1C level	30	29	$67.00	$11.75
90662 Influenza vaccine split virus, preservative free	29	29	$60.00	$52.30
71046 X-ray of chest, 2 views	27	26	$62.07	$16.85
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	22	19	$27.00	$4.29
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	21	18	$37.00	$1.15
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg	21	14	$15.00	$0.07
96361 Hydration infusion into a vein	21	16	$85.00	$12.79
84550 Uric acid level, blood	20	18	$31.00	$5.47
85379 Coagulation function measurement, d-dimer; quantitative	19	19	$67.00	$12.31
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	11	$60.00	$20.15
82607 Cyanocobalamin (vitamin B-12) level	14	14	$108.00	$18.24
85610 Blood test, clotting time	14	14	$30.00	$4.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	347	309	$16.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	288	264	$42.00	$10.42
80053 Blood test, comprehensive group of blood chemicals	240	228	$65.00	$12.89
99213 Established patient office or other outpatient visit, typically 15 minutes	195	173	$115.00	$66.59
87804 Detection test by immunoassay with direct visual observation for influenza virus	159	80	$55.00	$15.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	142	111	$39.44	$23.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	124	$159.00	$99.41
J1885 Injection, ketorolac tromethamine, per 15 mg	118	40	$20.00	$0.63
81003 Automated urinalysis test	113	107	$25.00	$3.00
J0696 Injection, ceftriaxone sodium, per 250 mg	92	22	$30.00	$0.63
80048 Blood test, basic group of blood chemicals (calcium, total)	75	66	$49.00	$10.68
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	75	72	$45.00	$15.94
83735 Magnesium level	60	54	$46.00	$9.01
93000 Routine ekg using at least 12 leads including interpretation and report	56	53	$62.00	$15.93
82962 Blood glucose (sugar) test performed by hand-held instrument	55	49	$18.00	$3.15
G0008 Administration of influenza virus vaccine	52	52	$25.00	$23.40
81000 Manual urinalysis test with examination using microscope, non-automated	50	45	$18.00	$4.26
82550 Creatine kinase (cardiac enzyme) level, total	50	49	$42.00	$5.63
83874 Myoglobin (muscle protein) level	49	48	$65.00	$17.37
81001 Manual urinalysis test with examination using microscope, automated	49	48	$23.00	$4.26
82553 Creatine kinase (cardiac enzyme) level, mb fraction only	49	48	$66.00	$15.52
84484 Troponin (protein) analysis, quantitative	49	48	$74.50	$13.23
71020 X-ray of chest, 2 views, front and side	48	47	$60.00	$15.09
94640 Inhalation treatment for airway obstruction or sputum production	48	46	$46.00	$16.55
83690 Lipase (fat enzyme) level	44	43	$32.00	$9.26
86140 Measurement C-reactive protein for detection of infection or inflammation	41	41	$29.00	$6.96
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg	37	19	$15.00	$0.07
84443 Blood test, thyroid stimulating hormone (TSH)	36	36	$96.00	$22.59
96360 Infusion into a vein for hydration, 31-60 minutes	33	27	$157.15	$50.92
J7030 Infusion, normal saline solution , 1000 cc	32	25	$37.00	$2.02
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	31	31	$22.00	$17.34
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	29	26	$10.00	$0.15
85379 Coagulation function measurement, d-dimer; quantitative	28	28	$67.00	$13.68
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	28	18	$7.00	$4.17
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	26	17	$15.00	$2.68
84439 Thyroxine (thyroid chemical), free	24	24	$71.00	$12.12
85610 Blood test, clotting time	24	17	$30.00	$5.28
83036 Hemoglobin A1C level	23	23	$67.00	$13.05
84550 Uric acid level, blood	22	21	$31.00	$5.34
96361 Hydration infusion into a vein	21	13	$85.00	$14.00
83880 Natriuretic peptide (heart and blood vessel protein) level	21	21	$162.50	$45.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$90.00	$40.34
80061 Blood test, lipids (cholesterol and triglycerides)	17	17	$85.00	$14.12
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram	16	15	$3.00	$0.22
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	16	16	$27.00	$4.77
82607 Cyanocobalamin (vitamin B-12) level	15	15	$108.00	$20.27
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$30.00	$17.48

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 030289

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners

Dr. Cynthia Cabrera , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1023097227

Doctor of Medicine (M.D.)

Shelley Worden , NP

Nurse Practitioner - Neonatal

NPI 1033166509

Nurse Practitioner

Dr. Lori Parker , DO

Hospitalist

NPI 1124099403

Doctor of Osteopathic Medicine (D.O.)

Nicole Sachau , FNP-C

Nurse Practitioner - Family

NPI 1215389192

Family Nurse Practitioner (Certified)

Paige Owens , FNP, BC

Nurse Practitioner - Family

NPI 1245392695

Family Nurse Practitioner, BC

Dr. Nitya Reddy , MBBS

Internal Medicine

NPI 1245452598

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

⚠️

NPI Profile Deactivated January 04, 2023

Record deactivated on January 04, 2023

✅

NPI Profile Active August 28, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 28, 2014

Registered at 725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 305013834 (Tel: 7705350191)

📍

Updated Business Mailing Address August 28, 2014

Registered at PO BOX 658, GAINESVILLE, GA 305030658 (Tel: 7707181122)

👤

Provider Name / Credentials Updated August 28, 2014

Recorded as JACK COPELAND, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2014

Specialist (License #030289 in GA)

🟢

Initial NPI Registration & Enumeration November 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598830978

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 21, 2006

Last Update: August 28, 2014

Deactivation Date: January 04, 2023

Update or Correct Profile

Mailing Address

Po Box 658

Gainesville, GA 305030658

Phone: 7707181122

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.