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LESLIE SCHAAD JACKSON FNP-C
NPI 1083057152
Nurse Practitioner - Family in Canton, GA

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment
10515 BELLS FERRY RD STE 200, CANTON, GA 30114(678) 493-0752(678) 493-2401 Get Directions Write a Review

NPPES record last updated: March 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2018, May 10, 2017, Jan 4, 2017 (3 updates tracked since 2017).

About Leslie Schaad Jackson Fnp-c NPPES

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

LESLIE SCHAAD JACKSON FNP-C (NPI 1083057152) is an individual family provider in Canton, Georgia, licensed in Georgia (RN149423) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Medical College Of Georgia School Of Medicine (2000).

NPPES Registry Identity

NPI1083057152
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLESLIE SCHAAD JACKSONCredential: FNP-C
Location Address10515 BELLS FERRY RD STE 200Canton, GA 30114-4204
Mailing Address460 Northside Cherokee Blvd, Suite 170Canton, GA 30115-8016 · (770) 721-9170 · Fax (770) 721-9171
Phone(678) 493-0752
Fax(678) 493-2401
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2000
Enumeration DateApril 9, 2013
Last NPPES UpdateMarch 7, 20183 updates tracked since enumeration
✔ NPI 1083057152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN149423
10515 BELLS FERRY RD STE 200, Canton, GA 30114
Open in Google Maps ↗

Other Names 1

Former Name (1)Leslie E Head Fnp-c

Other Identifiers 2

Medicaid003154541BGA
Medicaid003154541AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Leslie Schaad Jackson Fnp-c 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.

PECOS PAC ID8527288455
PECOS Enrollment IDI20140927000511
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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
92 services72 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services49 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
42 services38 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
39 services39 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
23 services23 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30114 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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 3

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

HAROON AFZAL MIAN MD
Family Medicine
10515 BELLS FERRY RD STE 200
CANTON, GA 30114
Cherokee County (678) 493-0752
DR. DWAYNE LAY DPM
Podiatrist (Foot & Ankle Surgery)
10515 BELLS FERRY RD STE 200
CANTON, GA 30114
Cherokee County (770) 765-5828
DWAYNE A LAY LLC
Podiatrist (Foot & Ankle Surgery)
10515 BELLS FERRY RD STE 200
CANTON, GA 30114
Cherokee County (770) 765-5828

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 Leslie Jackson's NPI number?

The NPI number for Leslie Jackson is 1083057152. It was assigned to this individual provider in the NPPES registry on April 9, 2013. The provider is also known as Leslie E Head Fnp-C.

Where is Leslie Jackson located?

Leslie Jackson practices at 10515 Bells Ferry Rd Ste 200, Canton, GA 30114. The listed phone number is (678) 493-0752.

What is Leslie Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Leslie Jackson enrolled in Medicare?

Yes. Leslie 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.

What insurance does Leslie Jackson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Leslie Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Leslie Jackson affiliated with any hospitals?

According to CMS data, Leslie Jackson is affiliated with Northside Hospital Forsyth and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Leslie Jackson was last updated on March 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.