YOLANDE JACKSON NP
NPI 1164273173
Nurse Practitioner - Family in Conyers, GA

Active since March 28, 2024PECOS EnrolledAccepts Medicare Assignment
1301 SIGMAN RD NE, CONYERS, GA 30012(770) 278-0154(770) 278-0158 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2024, Jul 30, 2024 (2 updates tracked since 2024).

About Yolande Jackson Np NPPES

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

YOLANDE JACKSON NP (NPI 1164273173) is an individual family provider in Conyers, Georgia, licensed in Georgia (131269) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164273173
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameYOLANDE JACKSONCredential: NP
Location Address1301 SIGMAN RD NEConyers, GA 30012-3812
Mailing Address2060 Evergreen Dr SeConyers, GA 30013-6417 · (404) 784-5312
Fax(770) 278-0158
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 28, 2024
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
NPI 1164273173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · 131269
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 131269 (GA)
1301 SIGMAN RD NE, Conyers, GA 30012

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

Yolande Jackson Np 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 ID9739625450
PECOS Enrollment IDI20240718000918
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

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 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110018
Location5126 Hospital Drive NECovington, GA 30014 · Newton County
Emergency services Birthing friendly

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110091
Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30012 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 20

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

Surgery (Vascular Surgery)
1301 SIGMAN RD NE
CONYERS, GA 30012
Physical Therapist
1301 SIGMAN RD NE, SUITE 220
CONYERS, GA 30012
Clinic/Center (Ambulatory Surgical)
1301 SIGMAN RD NE, SUITE 120
CONYERS, GA 30012
Physical Therapist
1301 SIGMAN RD NE, SUITE 220
CONYERS, GA 30012
Nurse Anesthetist, Certified Registered
1301 SIGMAN RD NE, SUITE 120
CONYERS, GA 30012
Internal Medicine (Gastroenterology)
1301 SIGMAN RD NE, SUITE 190
CONYERS, GA 30012
Surgery (Vascular Surgery)
1301 SIGMAN RD NE, SUITE 130
CONYERS, GA 30012
Registered Nurse (Registered Nurse First Assistant)
1301 SIGMAN RD NE, STE 130
CONYERS, GA 30012

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 Yolande Jackson's NPI number?

The NPI number for Yolande Jackson is 1164273173. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Yolande Jackson located?

Yolande Jackson practices at 1301 Sigman Rd NE, Conyers, GA 30012. The listed phone number is (770) 278-0154.

What is Yolande Jackson's specialty?

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

Is Yolande Jackson enrolled in Medicare?

Yes. Yolande 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.

Is Yolande Jackson affiliated with any hospitals?

According to CMS data, Yolande Jackson is affiliated with Piedmont Newton Hospital and Piedmont Rockdale Hospital.

When was this NPI record last updated?

The NPPES record for Yolande Jackson was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.