MS. CHANTILEER JACKSON APN
NPI 1427390988
Nurse Practitioner in Albany, GA

Q: What is Chantileer Jackson's NPI number?

The NPI number for Chantileer Jackson is 1427390988. It was assigned to this individual provider in the NPPES registry on March 22, 2013. The provider is also known as Chantileer Jackson Apn.

Q: What is Chantileer Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since March 22, 2013PECOS EnrolledAccepts Medicare Assignment

1200 N JEFFERSON ST, ALBANY, GA 31701(229) 888-0203(229) 889-9386 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 18, 2025, Oct 8, 2025 (2 updates tracked since 2025).

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About Ms. Chantileer Jackson Apn NPPES

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

MS. CHANTILEER JACKSON APN (NPI 1427390988) is an individual nurse practitioner in Albany, Georgia, licensed in Georgia (RN324992) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Phoebe Putney Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1427390988

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. CHANTILEER JACKSONCredential: APN

Location Address1200 N JEFFERSON STAlbany, GA 31701-2057

Mailing Address1200 N Jefferson StAlbany, GA 31701-2057 · (229) 888-3970 · Fax (229) 889-9386

Phone(229) 888-0203

Fax(229) 889-9386

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMarch 22, 2013

Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration

NPPES CertifiedNovember 18, 2025

✔ NPI 1427390988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN324992

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1200 N JEFFERSON ST, Albany, GA 31701

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Other Names 1

Professional Name (2)Chantileer Jackson Apn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Chantileer Jackson Apn 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 ID6709029796

PECOS Enrollment IDI20251105000786

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 Chantileer Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southwest Ga. Nephrology Clinic, P.C.

Same address

Specialist

1200 N JEFFERSON ST
Albany, GA 31701

Reassigned Medicare billing, Georgia enrollment
12 clinicians in this Medicare group

NPI 1104015569 (229) 888-3970

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Phoebe Putney Memorial Hospital

Acute Care Hospitals · Albany, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110007

Location417 Third AvenueAlbany, GA 31703 · Dougherty County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31701 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.

Other Providers at the Same Location NPPES 12

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

JOHN A DENNIS PA-C

Physician Assistant (Medical)