WENDY S JACKSON FNP-C
NPI 1215306071
Nurse Practitioner - Family in Atlanta, GA
About Wendy S Jackson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WENDY S JACKSON FNP-C (NPI 1215306071) is an individual family provider in Atlanta, Georgia, licensed in Georgia (RN168859) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Wendy S 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.
Medicare Billing Reassignment
Medicare enrollment records show Wendy Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 771 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Grady Memorial Hospital
Acute Care Hospitals · Atlanta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
ATLANTA, GA 30303
ATLANTA, GA 30303
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 Wendy Jackson's NPI number?
The NPI number for Wendy Jackson is 1215306071. It was assigned to this individual provider in the NPPES registry on September 22, 2015.
Where is Wendy Jackson located?
Wendy Jackson practices at 80 Jesse Hill Jr Dr SE, Atlanta, GA 30303. The listed phone number is (404) 616-1000.
What is Wendy Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Wendy Jackson enrolled in Medicare?
Yes. Wendy 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 Wendy Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wendy Jackson reassigns Medicare benefits to Grady Memorial Hospital Corporation (Atlanta, GA). 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 Wendy Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Wendy Jackson accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Wendy 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 Wendy Jackson affiliated with any hospitals?
According to CMS data, Wendy Jackson is affiliated with Grady Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Wendy Jackson was last updated on December 31, 2020. 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.
# Wendy S Jackson, FNP-C · NPI 1215306071
Family physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since September 22, 2015.
## Identity
- **NPI:** 1215306071 (Entity type: Individual)
- **Enumerated:** September 22, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN168859 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 80 JESSE HILL JR DR SE, Atlanta, GA 30303-3031
- **Phone:** (404) 616-1000 · **Fax:** (404) 489-6978
## 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:** Grady Memorial Hospital Corporation (NPI 1114243813, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** December 31, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1215306071) · Data from the CMS NPPES public registry.