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MR. KEVIN ERIC GLENN JACKSON MSN, APRN, FNP-C
NPI 1861185753
Nurse Practitioner - Family in Flowery Branch, GA

Active since May 29, 2023PECOS Enrolled
4038 WINDER HWY, FLOWERY BRANCH, GA 30542(678) 693-2364(470) 778-2123 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 11, 2024, Apr 18, 2024, Jul 5, 2023 and 1 more (4 updates tracked since 2023).

About Mr. Kevin Eric Glenn Jackson Msn, Aprn, Fnp-c NPPES

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

MR. KEVIN ERIC GLENN JACKSON MSN, APRN, FNP-C (NPI 1861185753) is an individual family provider in Flowery Branch, Georgia, licensed in Georgia (APRN-NP231401) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dahlonega.

NPPES Registry Identity

NPI1861185753
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. KEVIN ERIC GLENN JACKSONCredential: MSN, APRN, FNP-C
Location Address4038 WINDER HWYFlowery Branch, GA 30542-3021
Mailing Address4038 Winder HwyFlowery Branch, GA 30542-3021 · (678) 693-2364 · Fax (470) 778-2123
Phone(678) 693-2364
Fax(470) 778-2123
Sole ProprietorNo
Enumeration DateMay 29, 2023
Last NPPES UpdateOctober 27, 20254 updates tracked since enumeration
NPPES CertifiedOctober 27, 2025
✔ NPI 1861185753 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 GA · APRN-NP231401
4038 WINDER HWY, Flowery Branch, GA 30542
Open in Google Maps ↗

Secondary Practice Location 1

Location 1134 Ansley Dr Ste 700Dahlonega, GA 30533-1641 · Phone (706) 701-5001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kevin Eric Glenn Jackson Msn, 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 Reassignments

2

Medicare enrollment records show Kevin Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medlife Healthcare LLC
5.9 mi
Family Medicine
2129 FRIENDSHIP RD STE 200
Flowery Branch, GA 30542
  • Reassigned Medicare billing, Georgia enrollment
  • 24 clinicians in this Medicare group
NPI 1558974709 (770) 209-2787
Medlife Urgent Care LLC
53 mi
Urgent Care
345 HUNTINGTON PLACE CT STE 200
Mcdonough, GA 30253
  • Reassigned Medicare billing, Georgia enrollment
  • 25 clinicians in this Medicare group
NPI 1083249114 (404) 271-3775

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 30542 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 2

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

MS. MEREDITH MICHELLE TATUM PA-C
Physician Assistant (Medical)
4038 WINDER HWY
FLOWERY BRANCH, GA 30542
Hall County (678) 693-2364
JEAN LEE VARNER FNP-C
Nurse Practitioner (Family)
4038 WINDER HWY
FLOWERY BRANCH, GA 30542
Hall County (678) 693-2364

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 Kevin Jackson's NPI number?

The NPI number for Kevin Jackson is 1861185753. It was assigned to this individual provider in the NPPES registry on May 29, 2023.

Where is Kevin Jackson located?

Kevin Jackson practices at 4038 Winder Hwy, Flowery Branch, GA 30542. The listed phone number is (678) 693-2364.

What is Kevin Jackson's specialty?

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

Is Kevin Jackson enrolled in Medicare?

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

Which organizations bill Medicare for Kevin Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Jackson reassigns Medicare benefits to 2 organizations: Medlife Healthcare LLC (Flowery Branch, GA) and Medlife Urgent Care LLC (Mcdonough, 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 Kevin Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Jackson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kevin 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 Kevin Jackson was last updated on October 27, 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.