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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARIA SHAUNTEE JACKSON
NPI 1417875469
Nurse Practitioner - Family in Waycross, GA

Active since July 08, 2026PECOS Enrolled
PO BOX 398, WAYCROSS, GA 31502(912) 614-8131 Get Directions Write a Review

NPPES record added: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Maria Shauntee Jackson NPPES

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

MARIA SHAUNTEE JACKSON (NPI 1417875469) is an individual family provider in Waycross, Georgia, licensed in Georgia (APRN-NP180801) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417875469
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIA SHAUNTEE JACKSON
Location AddressPO BOX 398Waycross, GA 31502-0398
Mailing AddressPo Box 398Waycross, GA 31502-0398
Phone(912) 614-8131
Sole ProprietorNo
Enumeration DateJuly 8, 2026
NPPES CertifiedJuly 8, 2026
✔ NPI 1417875469 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 · APRN-NP180801
PO BOX 398, Waycross, GA 31502
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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 (PECOS)

Maria Shauntee 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31502 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 Maria Jackson's NPI number?

The NPI number for Maria Jackson is 1417875469. It was assigned to this individual provider in the NPPES registry on July 8, 2026.

Where is Maria Jackson located?

Maria Jackson practices at PO Box 398, Waycross, GA 31502. The listed phone number is (912) 614-8131.

What is Maria Jackson's specialty?

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

Is Maria Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Maria Jackson was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.