JONATHAN D JACKSON FNP-BC
NPI 1104553924
Nurse Practitioner - Family in Ringgold, GA

Q: What is Jonathan Jackson's NPI number?

The NPI number for Jonathan Jackson is 1104553924. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Q: What is Jonathan Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jonathan Jackson was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 02, 2022PECOS EnrolledAccepts Medicare Assignment

25 TRANQUIL LN, RINGGOLD, GA 30736(423) 902-9979(423) 373-1228 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jonathan D Jackson Fnp-bc NPPES

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

JONATHAN D JACKSON FNP-BC (NPI 1104553924) is an individual family provider in Ringgold, Georgia, licensed in Georgia (RN162421) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104553924

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJONATHAN D JACKSONCredential: FNP-BC

Location Address25 TRANQUIL LNRinggold, GA 30736-2859

Mailing Address25 Tranquil LnRinggold, GA 30736-2859 · (423) 902-9979

Phone(423) 902-9979

Fax(423) 373-1228

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 2, 2022

NPPES CertifiedJuly 29, 2022

✔ NPI 1104553924 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 · RN162421

25 TRANQUIL LN, Ringgold, GA 30736

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Oscar Health and more.Insurance ›

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

Jonathan D Jackson Fnp-bc 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 ID42680647

PECOS Enrollment IDI20221222001685, I20240611000673

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.

Medicare Billing Reassignments

Medicare enrollment records show Jonathan Jackson reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dx Mso, PLLC

8.3 mi

Urgent Care

1521 GUNBARREL RD, STE 103
Chattanooga, TN 37421

Reassigned Medicare billing, Tennessee enrollment
224 clinicians in this Medicare group

NPI 1225381148 (423) 531-0911

Hamilton Medical Center, Inc.

12 mi

General Acute Care Hospital

1200 MEMORIAL DR
Dalton, GA 30720

Reassigned Medicare billing, Georgia enrollment
236 clinicians in this Medicare group

NPI 1528056066 (706) 272-6000

Dx Mso Of Georgia LLC

13 mi

Multi-Specialty

1302 W WALNUT AVE STE 1
Dalton, GA 30720

Reassigned Medicare billing, Georgia enrollment
19 clinicians in this Medicare group

NPI 1922757111 (423) 476-5990

Gordon Emergency Physicians, LLC

22 mi

Emergency Medicine

707 OLD DALTON ELLIJAY RD
Chatsworth, GA 30705

Reassigned Medicare billing, Georgia enrollment
80 clinicians in this Medicare group

NPI 1639621485 (706) 695-4564

Emergency Coverage Services, PC

126 mi

Nurse Practitioner

1607 S LOCUST AVE
Lawrenceburg, TN 38464

Reassigned Medicare billing, Georgia enrollment
32 clinicians in this Medicare group

NPI 1053351593 (931) 762-6571

Emergency Medicine Services Of Tn, PC

128 mi

Emergency Medicine

2300 PATTERSON ST
Nashville, TN 37203

Reassigned Medicare billing, Tennessee enrollment
414 clinicians in this Medicare group

NPI 1720785884 (615) 342-1000

Emergency Coverage, LLC

133 mi

Family Medicine

435 2ND ST
Newport, TN 37821

Reassigned Medicare billing, Georgia enrollment
330 clinicians in this Medicare group

NPI 1427005008 (423) 625-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

300 services66 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

144 services67 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

91 services75 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

89 services89 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

71 services67 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.

61 services55 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

60 services15 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

50 services50 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

30 services28 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.

24 services24 patients

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

Albuterol and ipratropium bromide are medications used to help you breathe more easily. They work by relaxing your airways and increasing airflow to your lungs. These FDA-approved drugs are administered through a device called DME (Durable Medical Equipment) which ensures accurate dosage.

24 services21 patients

Inhalation treatment for airway obstruction or sputum production 94640

Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.

23 services21 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30736 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

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 Jonathan Jackson's NPI number?

The NPI number for Jonathan Jackson is 1104553924. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Jonathan Jackson located?

Jonathan Jackson practices at 25 Tranquil Ln, Ringgold, GA 30736. The listed phone number is (423) 902-9979.

What is Jonathan Jackson's specialty?

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

Is Jonathan Jackson enrolled in Medicare?

Yes. Jonathan 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 organizations bill Medicare for Jonathan Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Jackson reassigns Medicare benefits to 7 organizations: Dx Mso, PLLC (Chattanooga, TN), Hamilton Medical Center, Inc. (Dalton, GA), Dx Mso Of Georgia LLC (Dalton, GA), Gordon Emergency Physicians, LLC (Chatsworth, GA), Emergency Coverage Services, PC (Lawrenceburg, TN) and 2 more organizations, listed in the Medicare section above. Each 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 Jonathan Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Jackson accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Oscar Health, Oscar Insurance Company and UnitedHealthcare list Jonathan 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.

When was this NPI record last updated?

The NPPES record for Jonathan Jackson was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.