KELLI JOHNSON JACKSON
NPI 1639190051
Optometrist in Nashville, TN

Active since July 21, 2006PECOS Enrolled
6814 CHARLOTTE PIKE, NASHVILLE, TN 37209(615) 352-9699 Get Directions Write a Review

NPPES record last updated: June 3, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelli Johnson Jackson NPPES

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

KELLI JOHNSON JACKSON (NPI 1639190051) is an individual optometrist in Nashville, Tennessee, licensed in Tennessee (1566) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639190051
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKELLI JOHNSON JACKSON
Location Address6814 CHARLOTTE PIKENashville, TN 37209-4206
Mailing Address1221 Buckhead DrBrentwood, TN 37027-7878 · (615) 837-8422
Sole ProprietorYes
Enumeration DateJuly 21, 2006
Last NPPES UpdateJune 3, 2019
NPI 1639190051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in TN · 1566
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

6814 CHARLOTTE PIKE, Nashville, TN 37209

Other Identifiers 3

OtherP00265658TN · Railroad Medicare Prov #
Other4134928TN · Bcbs & Tncare Select #
Medicaid3940088TN

Accepted 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)

Kelli Johnson 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 37209 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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 8

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

Pharmacist
6814 CHARLOTTE PIKE
NASHVILLE, TN 37209
Pharmacist
6814 CHARLOTTE PIKE, T-2240
NASHVILLE, TN 37209
Pharmacist
6814 CHARLOTTE PIKE, T-2240
NASHVILLE, TN 37209
Pharmacist
6814 CHARLOTTE PIKE
NASHVILLE, TN 37209
Pharmacy
6814 CHARLOTTE PIKE
NASHVILLE, TN 37209
Eyewear Supplier
6814 CHARLOTTE PIKE
NASHVILLE, TN 37209
Pharmacist
6814 CHARLOTTE PIKE
NASHVILLE, TN 37209
Pharmacist
6814 CHARLOTTE PIKE
NASHVILLE, TN 37209

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 Kelli Jackson's NPI number?

The NPI number for Kelli Jackson is 1639190051. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Kelli Jackson located?

Kelli Jackson practices at 6814 Charlotte Pike, Nashville, TN 37209. The listed phone number is (615) 352-9699.

What is Kelli Jackson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kelli Jackson enrolled in Medicare?

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

What insurance does Kelli Jackson accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kelli 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 Kelli Jackson was last updated on June 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.