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

Q: 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.

Q: What is Katherine Jackson's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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

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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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of South Carolina, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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Other Providers at the Same Location NPPES 13

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

KIMBERLY HILL LPN

Licensed Practical Nurse