KIMBERLY JACKSON ATC
NPI 1053672634
Specialist/Technologist - Athletic Trainer in Peachtree City, GA

Q: What is Kimberly Jackson's NPI number?

The NPI number for Kimberly Jackson is 1053672634. It was assigned to this individual provider in the NPPES registry on May 31, 2012.

Q: What is Kimberly Jackson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Jackson was last updated on May 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 May 31, 2012

277 HIGHWAY 74 N, STE 203, PEACHTREE CITY, GA 30269(678) 364-0337(678) 364-0858 Get Directions Write a Review

NPPES record last updated: May 31, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kimberly Jackson Atc NPPES

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

KIMBERLY JACKSON ATC (NPI 1053672634) is an individual athletic trainer provider in Peachtree City, Georgia, licensed in Georgia (AT001774) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1053672634

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameKIMBERLY JACKSONCredential: ATC

Location Address277 HIGHWAY 74 N, STE 203Peachtree City, GA 30269-1569

Mailing Address8823 Production LnOoltewah, TN 37363-6511 · (423) 238-7217 · Fax (423) 238-3473

Phone(678) 364-0337

Fax(678) 364-0858

Sole ProprietorNo

Enumeration DateMay 31, 2012

✔ NPI 1053672634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in GA · AT001774

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

277 HIGHWAY 74 N, Peachtree City, GA 30269

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Other Providers at the Same Location NPPES 9

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

STEPHEN RUSSELL WEYANDT PT, DPT

Physical Therapist

277 HIGHWAY 74 N, SUITE 203
PEACHTREE CITY, GA 30269

Fayette County (678) 364-0337

MRS. KRISTI BUCK PT

Physical Therapist

277 HIGHWAY 74 N, SUITE 203
PEACHTREE CITY, GA 30269

Fayette County (678) 364-0337

KAYLA NICHOLE BROOK PT

Physical Therapist

277 HIGHWAY 74 N, STE 203
PEACHTREE CITY, GA 30269

Fayette County (678) 364-0337

DARCY SUZANNE BASSETT PT, DPT

Physical Therapist

277 HIGHWAY 74 N, STE 203
PEACHTREE CITY, GA 30269

Fayette County (678) 364-0037

MS. VENETIA LADAWN WALKER

Behavior Technician

277 HIGHWAY 74 N
PEACHTREE CITY, GA 30269

Fayette County (888) 329-4535

ACCESS COUNSELING, LLC

Counselor (Mental Health)

277 HIGHWAY 74 N
PEACHTREE CITY, GA 30269

Fayette County (678) 383-1210

CHMG OF GRIFFIN, LLC

Home Health

277 HIGHWAY 74 N, SUITE 307
PEACHTREE CITY, GA 30269

Fayette County (770) 487-1399

PEACHTREE CITY SPEECH AND LANGUAGE

Speech-Language Pathologist

277 HIGHWAY 74 N, SUITE 203
PEACHTREE CITY, GA 30269

Fayette County (770) 363-1929

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 Kimberly Jackson's NPI number?

The NPI number for Kimberly Jackson is 1053672634. It was assigned to this individual provider in the NPPES registry on May 31, 2012.

Where is Kimberly Jackson located?

Kimberly Jackson practices at 277 Highway 74 N Ste 203, Peachtree City, GA 30269. The listed phone number is (678) 364-0337.

What is Kimberly Jackson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kimberly Jackson was last updated on May 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.