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JENNIFER W JACKSON APRN, FNP-C
NPI 1639251069
Nurse Practitioner - Family in Washington, GA

Active since October 19, 2006PECOS Enrolled
204 GORDON ST, WASHINGTON, GA 30673(706) 678-2622(706) 678-3115 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer W Jackson Aprn, Fnp-c NPPES

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

JENNIFER W JACKSON APRN, FNP-C (NPI 1639251069) is an individual family provider in Washington, Georgia, licensed in Georgia (APRN-NP141785) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639251069
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER W JACKSONCredential: APRN, FNP-C
Location Address204 GORDON STWashington, GA 30673-1604
Mailing Address204 Gordon StWashington, GA 30673-1604 · (706) 678-2622 · Fax (706) 678-3115
Phone(706) 678-2622
Fax(706) 678-3115
Sole ProprietorNo
Enumeration DateOctober 19, 2006
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1639251069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · APRN-NP141785
Also ListedRegistered Nurse · AdministratorTaxonomy 163WA2000X · License RN141785 (GA)
204 GORDON ST, Washington, GA 30673
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer W Jackson Aprn, Fnp-c 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 Jennifer Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wilkes County Board Of Health
0.2 mi
Public Health or Welfare
204 GORDON ST
Washington, GA 30673
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
NPI 1912636036 (706) 678-2622

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 30673 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 3

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

JERI L HUCKE RN
Registered Nurse
204 GORDON ST
WASHINGTON, GA 30673
Wilkes County (706) 678-2622
WILKES COUNTY BOARD OF HEALTH
Public Health or Welfare
204 GORDON ST
WASHINGTON, GA 30673
Wilkes County (706) 678-2622
WILKES COUNTY BOARD OF HEALTH
Public Health or Welfare
204 GORDON ST
WASHINGTON, GA 30673
Wilkes County (706) 678-2622

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 Jennifer Jackson's NPI number?

The NPI number for Jennifer Jackson is 1639251069. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Jennifer Jackson located?

Jennifer Jackson practices at 204 Gordon St, Washington, GA 30673. The listed phone number is (706) 678-2622.

What is Jennifer Jackson's specialty?

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

Is Jennifer Jackson enrolled in Medicare?

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

Which organization bills Medicare for Jennifer Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Jackson reassigns Medicare benefits to Wilkes County Board Of Health (Washington, 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 Jennifer Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Jackson was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.