KIERNEY ELIZABETH JACKSON PA
NPI 1003057621
Physician Assistant in Gainesville, GA
About Kierney Elizabeth Jackson Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIERNEY ELIZABETH JACKSON PA (NPI 1003057621) is an individual physician assistant in Gainesville, Georgia, licensed in Georgia (7782) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Charlotte.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kierney Elizabeth Jackson Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northeast Georgia Medical Center, Inc
Acute Care Hospitals · Gainesville, GAPiedmont Athens Regional Medical Center
Acute Care Hospitals · Athens, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kierney Jackson's NPI number?
The NPI number for Kierney Jackson is 1003057621. It was assigned to this individual provider in the NPPES registry on March 11, 2009.
Where is Kierney Jackson located?
Kierney Jackson practices at 200 S Enota Dr NE Ste 360, Gainesville, GA 30501. The listed phone number is (770) 219-4000.
What is Kierney Jackson's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kierney Jackson enrolled in Medicare?
Yes. Kierney Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Kierney Jackson affiliated with any hospitals?
According to CMS data, Kierney Jackson is affiliated with Northeast Georgia Medical Center, Inc and Piedmont Athens Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Kierney Jackson was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kierney Elizabeth Jackson, PA · NPI 1003057621
Physician Assistant physician in Gainesville, Georgia. Individual provider, active in the CMS NPPES registry since March 11, 2009.
## Identity
- **NPI:** 1003057621 (Entity type: Individual)
- **Enumerated:** March 11, 2009
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 7782 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 S ENOTA DR NE STE 360, Gainesville, GA 30501-3466
- **Phone:** (770) 219-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Alabama School Of Medicine, class of 2008
## Record status
- **NPPES last updated:** September 25, 2025
- **Other identifiers:** Medicaid 0949PA (SC); Medicaid 1003057621 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1003057621) · Data from the CMS NPPES public registry.