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ALISA MCCALL JACKSON FNP-C
NPI 1255946133
Nurse Practitioner - Family in Woodstock, GA

Active since September 09, 2020PECOS EnrolledAccepts Medicare Assignment
6478 PUTNAM FORD DR STE 105, WOODSTOCK, GA 30189(770) 599-5127(404) 470-3112 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 15, 2024, Aug 1, 2024, Sep 9, 2020 (3 updates tracked since 2020).

About Alisa Mccall Jackson Fnp-c NPPES

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

ALISA MCCALL JACKSON FNP-C (NPI 1255946133) is an individual family provider in Woodstock, Georgia, licensed in Georgia (F08200861) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255946133
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALISA MCCALL JACKSONCredential: FNP-C
Location Address6478 PUTNAM FORD DR STE 105Woodstock, GA 30189-6988
Mailing Address6478 Putnam Ford Dr Ste 105Woodstock, GA 30189-6988 · (770) 599-5127 · Fax (404) 470-3112
Phone(770) 599-5127
Fax(404) 470-3112
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 9, 2020
Last NPPES UpdateJune 22, 20263 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1255946133 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 · F08200861
6478 PUTNAM FORD DR STE 105, Woodstock, GA 30189
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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

Alisa Mccall 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 ID345643441
PECOS Enrollment IDI20210727003549
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30189 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

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

HEAL WELL HEALTHCARE SOLUTIONS, LLC
Nurse Practitioner (Family)
6478 PUTNAM FORD DR STE 105
WOODSTOCK, GA 30189
Cherokee County (770) 599-5127

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 Alisa Jackson's NPI number?

The NPI number for Alisa Jackson is 1255946133. It was assigned to this individual provider in the NPPES registry on September 9, 2020.

Where is Alisa Jackson located?

Alisa Jackson practices at 6478 Putnam Ford Dr Ste 105, Woodstock, GA 30189. The listed phone number is (770) 599-5127.

What is Alisa Jackson's specialty?

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

Is Alisa Jackson enrolled in Medicare?

Yes. Alisa 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.

When was this NPI record last updated?

The NPPES record for Alisa Jackson was last updated on June 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.