ELIZABETH JACKSON
NPI 1720951379
Physical Therapist in Augusta, GA

Active since September 29, 2025
1446 HARPER ST, AUGUSTA, GA 30912(912) 585-4211 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elizabeth Jackson NPPES

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

ELIZABETH JACKSON (NPI 1720951379) is an individual physical therapist in Augusta, Georgia, licensed in Georgia (PT017811) and active in the NPI registry since September 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1720951379
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameELIZABETH JACKSON
Location Address1446 HARPER STAugusta, GA 30912-0012
Mailing Address4304 Candleberry GdnNorth Augusta, SC 29860-7203 · (912) 585-4211
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 29, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1720951379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in GA · PT017811
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1446 HARPER ST, Augusta, GA 30912

Other Names 1

Other Name (5)Libby Jackson

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870085749
PECOS Enrollment IDI20251126003812

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 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.

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.

Physical Therapist (Pediatrics)
1446 HARPER ST
AUGUSTA, GA 30912
Occupational Therapist
1446 HARPER ST
AUGUSTA, GA 30912
Pediatrics (Pediatric Nephrology)
1446 HARPER ST
AUGUSTA, GA 30912
Speech-Language Pathologist
1446 HARPER ST
AUGUSTA, GA 30912
Neurological Surgery
1446 HARPER ST, BT5730
AUGUSTA, GA 30912
Pediatrics
1446 HARPER ST
AUGUSTA, GA 30912
Registered Nurse
1446 HARPER ST
AUGUSTA, GA 30912
Anesthesiology
1446 HARPER ST
AUGUSTA, GA 30912

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 Elizabeth Jackson's NPI number?

The NPI number for Elizabeth Jackson is 1720951379. It was assigned to this individual provider in the NPPES registry on September 29, 2025. The provider is also known as Libby Jackson.

Where is Elizabeth Jackson located?

Elizabeth Jackson practices at 1446 Harper St, Augusta, GA 30912. The listed phone number is (912) 585-4211.

What is Elizabeth Jackson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Elizabeth Jackson enrolled in Medicare?

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

Which organization bills Medicare for Elizabeth Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Jackson reassigns Medicare benefits to Wellstar Medical Group, LLC (Roswell, 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 Elizabeth Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Jackson accept?

Health plans from Oscar Health list Elizabeth 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 Elizabeth Jackson was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.