REBECCA SUZANNE JACKSON CNM
NPI 1679516173
Advanced Practice Midwife in Gainesville, GA
About Rebecca Suzanne Jackson Cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REBECCA SUZANNE JACKSON CNM (NPI 1679516173) is an individual advanced practice midwife in Gainesville, Georgia, licensed in Georgia (APRN-CNM136000) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
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
Rebecca Suzanne Jackson Cnm 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.
Medicare Billing Reassignments
2Medicare enrollment records show Rebecca Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 170 clinicians in this Medicare group
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 161 clinicians in this Medicare group
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 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
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 Rebecca Jackson's NPI number?
The NPI number for Rebecca Jackson is 1679516173. It was assigned to this individual provider in the NPPES registry on June 13, 2006.
Where is Rebecca Jackson located?
Rebecca Jackson practices at 725 Jesse Jewell Pkwy SE, Gainesville, GA 30501. The listed phone number is (770) 297-2200.
What is Rebecca Jackson's specialty?
The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.
Is Rebecca Jackson enrolled in Medicare?
Yes. Rebecca Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Rebecca Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Jackson reassigns Medicare benefits to 2 organizations: The Longstreet Clinic, PC (Gainesville, GA) and Northeast Georgia Community Physicians LLC (Gainesville, GA). Each 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 Rebecca 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 Rebecca Jackson was last updated on October 30, 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.
# Rebecca Suzanne Jackson, CNM · NPI 1679516173
Advanced Practice Midwife physician in Gainesville, Georgia. Individual provider, active in the CMS NPPES registry since June 13, 2006.
## Identity
- **NPI:** 1679516173 (Entity type: Individual)
- **Enumerated:** June 13, 2006
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **State license:** APRN-CNM136000 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 725 JESSE JEWELL PKWY SE, Gainesville, GA 30501-3834
- **Phone:** (770) 297-2200 · **Fax:** (770) 534-8139
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Longstreet Clinic, PC (NPI 1326019977, Gainesville, GA); Northeast Georgia Community Physicians LLC (NPI 1881583730, Gainesville, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** October 30, 2025
- **Other identifiers:** Other 1004732 (GA); Other 340852 (GA); Medicaid 382185596A (GA); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1679516173) · Data from the CMS NPPES public registry.