DR. KRISTY HENDRICKS JACKSON M.D.
NPI 1043484645
Psychiatry & Neurology - Psychiatry in Marietta, GA

Q: What is Kristy Jackson's NPI number?

The NPI number for Kristy Jackson is 1043484645. It was assigned to this individual provider in the NPPES registry on April 15, 2008.

Q: What is Kristy Jackson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Kristy Jackson was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since April 15, 2008PECOS Enrolled

2540 WINDY HILL RD SE, MARIETTA, GA 30067(770) 644-1570 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Kristy Hendricks Jackson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KRISTY HENDRICKS JACKSON M.D. (NPI 1043484645) is an individual psychiatry provider in Marietta, Georgia, licensed in Georgia (060643) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1043484645

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. KRISTY HENDRICKS JACKSONCredential: M.D.

Location Address2540 WINDY HILL RD SEMarietta, GA 30067-8605

Mailing Address475 Fairburn Rd SwAtlanta, GA 30331-1907 · (404) 691-9627

Phone(770) 644-1570

Sole ProprietorNo

Enumeration DateApril 15, 2008

Last NPPES UpdateOctober 15, 2019

✔ NPI 1043484645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in GA · 060643

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

2540 WINDY HILL RD SE, Marietta, GA 30067

Open in Google Maps ↗

Secondary Practice Location 1

Location 1475 Fairburn Rd SWAtlanta, GA 30331-1907 · Phone (404) 691-9627

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kristy Hendricks Jackson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$172.43 typical visit price

range $56.84 – $172.43

Typical copayment $43.10 (range $14.21 – $43.10)

Most-billed visit code 99205

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAZIM ALI SYED MD

Hospitalist