MR. JERETT STOCKHAM
NPI 1326639261
Nurse Practitioner - Family in Atlanta, GA

Active since February 02, 2021
1001 JOHNSON FERRY RD, ATLANTA, GA 30342(404) 785-4258 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 8, 2023, Jul 27, 2021, Feb 11, 2021 and 1 more (4 updates tracked since 2021).

About Mr. Jerett Stockham NPPES

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

MR. JERETT STOCKHAM (NPI 1326639261) is an individual family provider in Atlanta, Georgia, licensed in Georgia (RN263866) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1326639261
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JERETT STOCKHAM
Location Address1001 JOHNSON FERRY RDAtlanta, GA 30342-1605
Mailing Address1001 Buckeye LnVilla Rica, GA 30180-5328 · (678) 850-0985
Sole ProprietorYes
Enumeration DateFebruary 2, 2021
Last NPPES UpdateMay 8, 20234 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
NPI 1326639261 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 · RN263866
1001 JOHNSON FERRY RD, Atlanta, GA 30342

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.

Nurse Practitioner (Pediatrics)
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Physician Assistant
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Nurse Practitioner (Pediatrics)
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Emergency Medicine (Pediatric Emergency Medicine)
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Neurological Surgery
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Pediatrics (Pediatric Emergency Medicine)
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Anesthesiologist Assistant
1001 JOHNSON FERRY RD, SCOTTISH RITE DEPT OF ANES
ATLANTA, GA 30342
Internal Medicine (Cardiovascular Disease)
1001 JOHNSON FERRY RD, 1532 TULANE AVENUE
ATLANTA, GA 30342

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 Jerett Stockham's NPI number?

The NPI number for Jerett Stockham is 1326639261. It was assigned to this individual provider in the NPPES registry on February 2, 2021.

Where is Jerett Stockham located?

Jerett Stockham practices at 1001 Johnson Ferry Rd, Atlanta, GA 30342. The listed phone number is (404) 785-4258.

What is Jerett Stockham's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerett Stockham was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.