1. Home
  2. Directory
  3. Georgia
  4. Locust Grove
  5. Nurse Practitioner
  6. NPI Profile

MRS. STEPHANIE BRAZEAL JACKSON NP
NPI 1255512984
Nurse Practitioner - Family in Locust Grove, GA

Active since November 21, 2007PECOS EnrolledAccepts Medicare Assignment
711 TRESTLE RD, LOCUST GROVE, GA 30248(770) 914-5934 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Stephanie Brazeal Jackson Np NPPES

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

MRS. STEPHANIE BRAZEAL JACKSON NP (NPI 1255512984) is an individual family provider in Locust Grove, Georgia, licensed in Georgia (RN071218) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Piedmont Fayette Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1255512984
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. STEPHANIE BRAZEAL JACKSONCredential: NP
Location Address711 TRESTLE RDLocust Grove, GA 30248-3465
Mailing Address711 Trestle RdLocust Grove, GA 30248-3465 · (770) 914-5934
Phone(770) 914-5934
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateNovember 21, 2007
Last NPPES UpdateJuly 29, 2015
✔ NPI 1255512984 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 · RN071218
711 TRESTLE RD, Locust Grove, GA 30248
Open in Google Maps ↗

Other Names 1

Other Name (5)Mrs. Stephanie Cecilia Jackson Np

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

Mrs. Stephanie Brazeal 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 ID7719055037
PECOS Enrollment IDI20081014000048
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.

Hospital Affiliations CMS Care Compare

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

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30248 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.

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 Stephanie Jackson's NPI number?

The NPI number for Stephanie Jackson is 1255512984. It was assigned to this individual provider in the NPPES registry on November 21, 2007. The provider is also known as Mrs. Stephanie Cecilia Jackson Np.

Where is Stephanie Jackson located?

Stephanie Jackson practices at 711 Trestle Rd, Locust Grove, GA 30248. The listed phone number is (770) 914-5934.

What is Stephanie Jackson's specialty?

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

Is Stephanie Jackson enrolled in Medicare?

Yes. Stephanie 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 Stephanie Jackson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Stephanie 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 Stephanie Jackson affiliated with any hospitals?

According to CMS data, Stephanie Jackson is affiliated with Piedmont Fayette Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie Jackson was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.