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KATHERINE ELIZABETH JACKSON DNP, CPNP-PC
NPI 1578299871
Nurse Practitioner - Pediatrics in Augusta, GA

Active since July 28, 2022PECOS Enrolled
1238 DANTIGNAC ST, AUGUSTA, GA 30901(706) 922-0600 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 1, 2025, Jul 28, 2022 (2 updates tracked since 2022).

About Katherine Elizabeth Jackson Dnp, Cpnp-pc NPPES

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

KATHERINE ELIZABETH JACKSON DNP, CPNP-PC (NPI 1578299871) is an individual pediatrics provider in Augusta, Georgia, licensed in Georgia (RN184943) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578299871
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHERINE ELIZABETH JACKSONCredential: DNP, CPNP-PC
Location Address1238 DANTIGNAC STAugusta, GA 30901-2788
Mailing AddressPo Box 31164Augusta, GA 30903-2964 · (706) 922-0600
Phone(706) 922-0600
Sole ProprietorNo
Enumeration DateJuly 28, 2022
Last NPPES UpdateApril 1, 20252 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1578299871 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 · RN184943
1238 DANTIGNAC ST, Augusta, GA 30901
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 (PECOS)

Katherine Elizabeth Jackson Dnp, Cpnp-pc 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 Katherine Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christ Community Health Services Augusta, Inc
Same address
Federally Qualified Health Center (FQHC)
1238 DANTIGNAC ST
Augusta, GA 30901
  • Reassigned Medicare billing, Georgia enrollment
  • 28 clinicians in this Medicare group
NPI 1992448476 (706) 922-0600

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 30901 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 11

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

KIMBERLY HILL LPN
Licensed Practical Nurse
1238 DANTIGNAC ST
AUGUSTA, GA 30901
Richmond County (706) 922-0600
DR. CHARLES STEPHENS SCARBOROUGH JR. M.D.
Pediatrics
1238 DANTIGNAC ST
AUGUSTA, GA 30901
Richmond County (706) 922-0600
JESSICA BOUDREAUX RN
Registered Nurse (Case Management)
1238 DANTIGNAC ST
AUGUSTA, GA 30901
Richmond County (706) 922-0600
MICHELLE ELAINE BERRES LPN
Licensed Practical Nurse
1238 DANTIGNAC ST
AUGUSTA, GA 30901
Richmond County (706) 922-0600
JACQUELINE ANDERSON LPN
Licensed Practical Nurse
1238 DANTIGNAC ST
AUGUSTA, GA 30901
Richmond County (706) 922-0600
PATRICIA HOLM RN
Registered Nurse (Case Management)
1238 DANTIGNAC ST
AUGUSTA, GA 30901
Richmond County (706) 922-0600
VALERIE BRANCH LPN
Licensed Practical Nurse
1238 DANTIGNAC ST
AUGUSTA, GA 30901
Richmond County (706) 922-0600
MS. JENNIFER BELL WOODLEY FNP-BC
Nurse Practitioner (Family)
1238 DANTIGNAC ST
AUGUSTA, GA 30901
Richmond County (706) 774-7263

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 Katherine Jackson's NPI number?

The NPI number for Katherine Jackson is 1578299871. It was assigned to this individual provider in the NPPES registry on July 28, 2022.

Where is Katherine Jackson located?

Katherine Jackson practices at 1238 Dantignac St, Augusta, GA 30901. The listed phone number is (706) 922-0600.

What is Katherine Jackson's specialty?

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

Is Katherine Jackson enrolled in Medicare?

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

Which organization bills Medicare for Katherine Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Jackson reassigns Medicare benefits to Christ Community Health Services Augusta, Inc (Augusta, 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 Katherine Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Jackson accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Katherine Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katherine Jackson was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.