CARMEN YOLANDA JACKSON FNP
NPI 1306368329
Nurse Practitioner - Family in Waycross, GA
About Carmen Yolanda Jackson Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARMEN YOLANDA JACKSON FNP (NPI 1306368329) is an individual family provider in Waycross, Georgia, licensed in Georgia (RN149316) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Carmen Yolanda Jackson Fnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31501 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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WAYCROSS, GA 31501
WAYCROSS, GA 31501
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 Carmen Jackson's NPI number?
The NPI number for Carmen Jackson is 1306368329. It was assigned to this individual provider in the NPPES registry on July 11, 2017.
Where is Carmen Jackson located?
Carmen Jackson practices at 1900 Tebeau St, Waycross, GA 31501. The listed phone number is (912) 287-2555.
What is Carmen Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carmen Jackson enrolled in Medicare?
Yes. Carmen 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 Carmen Jackson was last updated on July 21, 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.
# Carmen Yolanda Jackson, FNP · NPI 1306368329
Family physician in Waycross, Georgia. Individual provider, active in the CMS NPPES registry since July 11, 2017.
## Identity
- **NPI:** 1306368329 (Entity type: Individual)
- **Enumerated:** July 11, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN149316 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 TEBEAU ST, Waycross, GA 31501-6357
- **Phone:** (912) 287-2555
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1306368329) · Data from the CMS NPPES public registry.