REBECCA SUZANNE JACKSON CNM
NPI 1679516173
Advanced Practice Midwife in Gainesville, GA

Q: 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.

Q: What is Rebecca Jackson's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: 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 9 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.

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment

76.58/100

CMS Quality Rating

725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501(770) 297-2200(770) 534-8139 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

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

NPI1679516173

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameREBECCA SUZANNE JACKSONCredential: CNM

Location Address725 JESSE JEWELL PKWY SEGainesville, GA 30501-3834

Mailing AddressPo Box 658Gainesville, GA 30503-0658 · (770) 718-1122 · Fax (770) 534-8998

Phone(770) 297-2200

Fax(770) 534-8139

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJune 13, 2006

Last NPPES UpdateOctober 30, 2025

NPPES CertifiedOctober 30, 2025

✔ NPI 1679516173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in GA · APRN-CNM136000

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

725 JESSE JEWELL PKWY SE, Gainesville, GA 30501

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Other Identifiers 6

Other1004732GA · Amerigroup

Other340852GA · Wellcare

Medicaid382185596AGA

Medicaid382185596EGA

Medicaid382185596GGA

Medicaid382185596DGA

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9032305644

PECOS Enrollment IDI20101122000869

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 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.

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

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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.

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.

76.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.63

Promoting Interoperability

Improvement Activities

Cost

72.14

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.

THE LONGSTREET CLINIC, PC

Clinical Medical Laboratory

725 JESSE JEWELL PKWY SE, SUITE 260
GAINESVILLE, GA 30501

Hall County (770) 535-0079

EILEEN JAVELLANA MD

Internal Medicine