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SUNNY MICHELE JACKSON
NPI 1336950484
Nurse Practitioner - Pediatrics in Atlanta, GA

Active since January 17, 2025PECOS Enrolled
2220 N DRUID HILLS RD NE, ATLANTA, GA 30329(404) 785-4747 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sunny Michele Jackson NPPES

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

SUNNY MICHELE JACKSON (NPI 1336950484) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (APRN-NP268768) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336950484
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSUNNY MICHELE JACKSON
Location Address2220 N DRUID HILLS RD NEAtlanta, GA 30329-3117
Mailing Address2220 N Druid Hills Rd NeAtlanta, GA 30329-3117
Phone(404) 785-4747
Sole ProprietorNo
Enumeration DateJanuary 17, 2025
Last NPPES UpdateDecember 5, 2025
NPPES CertifiedDecember 5, 2025
✔ NPI 1336950484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · APRN-NP268768
2220 N DRUID HILLS RD NE, Atlanta, GA 30329
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunny Michele Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Sunny Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Choa Hospital Based, LLC
0.4 mi
Pediatrics
1575 NORTHEAST EXPY NE
Brookhaven, GA 30329
  • Reassigned Medicare billing, Georgia enrollment
  • 251 clinicians in this Medicare group
NPI 1457695488 (404) 785-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30329 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 20

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

DR. JOEL A. FRIEDLANDER DO
Pediatrics (Pediatric Gastroenterology)
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-3020
NICOLE COOLIDGE CPNP
Nurse Practitioner (Family)
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-7683
YAW OWUSU MD
Pediatrics (Pediatric Cardiology)
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-9188
ASHWINI TILAK MD
Otolaryngology (Pediatric Otolaryngology)
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-5437
RONAK DAVE
Pediatrics
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (678) 491-9475
ELLEN OLSON CPNP
Nurse Practitioner (Pediatrics)
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-1200
MRS. MADELINE CAGLE ALLSOPP RN
Nurse Practitioner (Pediatrics)
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-5437
MARY GRACE ELIZABETH HENDERSON RN
Registered Nurse (Critical Care Medicine)
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-7574

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 Sunny Jackson's NPI number?

The NPI number for Sunny Jackson is 1336950484. It was assigned to this individual provider in the NPPES registry on January 17, 2025.

Where is Sunny Jackson located?

Sunny Jackson practices at 2220 N Druid Hills Rd NE, Atlanta, GA 30329. The listed phone number is (404) 785-4747.

What is Sunny Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Sunny Jackson enrolled in Medicare?

Yes. Sunny Jackson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sunny Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunny Jackson reassigns Medicare benefits to Choa Hospital Based, LLC (Brookhaven, 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 Sunny Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sunny Jackson was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.