JADA ADELE DECRENY-JACKSON
NPI 1073276952
Student in an Organized Health Care Education/Training Program in Atlanta, GA
About Jada Adele Decreny-jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JADA ADELE DECRENY-JACKSON (NPI 1073276952) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and is a graduate of Morehouse School Of Medicine (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jada Adele Decreny-jackson 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.
Medicare Billing Reassignment
Medicare enrollment records show Jada Decreny-jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Statesville, NC 28677
- Reassigned Medicare billing, North Carolina enrollment
- 580 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Moses H. Cone Memorial Hospital, The
Acute Care Hospitals · Greensboro, NCOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30310
ATLANTA, GA 30310
ATLANTA, GA 30310
ATLANTA, GA 30310
ATLANTA, GA 30310
ATLANTA, GA 30310
ATLANTA, GA 30310
ATLANTA, GA 30310
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 Jada Decreny-jackson's NPI number?
The NPI number for Jada Decreny-jackson is 1073276952. It was assigned to this individual provider in the NPPES registry on October 18, 2021.
Where is Jada Decreny-jackson located?
Jada Decreny-jackson practices at 720 Westview Dr SW, Atlanta, GA 30310. The listed phone number is (404) 752-1600.
What is Jada Decreny-jackson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jada Decreny-jackson enrolled in Medicare?
Yes. Jada Decreny-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.
Which organization bills Medicare for Jada Decreny-jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jada Decreny-jackson reassigns Medicare benefits to Wake Forest Emergency Providers (Statesville, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jada Decreny-jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jada Decreny-jackson affiliated with any hospitals?
According to CMS data, Jada Decreny-jackson is affiliated with Moses H. Cone Memorial Hospital, The.
When was this NPI record last updated?
The NPPES record for Jada Decreny-jackson was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jada Adele Decreny-Jackson · NPI 1073276952
Student in an Organized Health Care Education/Training Program provider in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since October 18, 2021.
## Identity
- **NPI:** 1073276952 (Entity type: Individual)
- **Enumerated:** October 18, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 720 WESTVIEW DR SW, Atlanta, GA 30310-1458
- **Phone:** (404) 752-1600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wake Forest Emergency Providers (NPI 1396216735, Statesville, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Morehouse School Of Medicine, class of 2023
## Record status
- **NPPES last updated:** October 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1073276952) · Data from the CMS NPPES public registry.