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MRS. CANDICE GRACE JACKSON NP-C
NPI 1720722929
Nurse Practitioner - Family in Montgomery, AL

Active since April 24, 2022PECOS Enrolled
2001 E SOUTH BLVD STE 101, MONTGOMERY, AL 36116(334) 747-5050 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Candice Grace Jackson Np-c NPPES

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

MRS. CANDICE GRACE JACKSON NP-C (NPI 1720722929) is an individual family provider in Montgomery, Alabama, licensed in Alabama (1-156024) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720722929
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CANDICE GRACE JACKSONCredential: NP-C
Location Address2001 E SOUTH BLVD STE 101Montgomery, AL 36116-2463
Mailing Address301 Brown Springs RdMontgomery, AL 36117-7005
Phone(334) 747-5050
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 24, 2022
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
✔ NPI 1720722929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-156024
2001 E SOUTH BLVD STE 101, Montgomery, AL 36116
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Candice Grace Jackson Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163905043
PECOS Enrollment IDI20260310000239
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 36116 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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 Candice Jackson's NPI number?

The NPI number for Candice Jackson is 1720722929. It was assigned to this individual provider in the NPPES registry on April 24, 2022.

Where is Candice Jackson located?

Candice Jackson practices at 2001 E South Blvd Ste 101, Montgomery, AL 36116. The listed phone number is (334) 747-5050.

What is Candice Jackson's specialty?

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

Is Candice Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Candice Jackson was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.