Kyra McKenzie Jackson, MSN, APRN, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

APRN-CNM302876 Issued in GA

Practice address

1297 Hembree Rd Ste 100
Roswell, GA 30076-3814

Phone

(608) 336-3363

NPI assigned

Aug 13, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1003731233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PARK AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303154033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 HEMBREE RD STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763814",
            "telephone_number": "608-336-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KYRA",
        "middle_name": "MCKENZIE",
        "credential": "MSN, APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "GA",
            "license": "APRN-CNM302876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Jeff Kincaid, DMD, Ms
• Asia Capri Jackson, PT
• Connor Jackson, RBT
• Emily Mae Jackson, DPT, OCS
• Keith Jackson, MD
• Raven Davon Jackson, MSW
• Shalonda Jackson
• Jacob'S Ladder
• Jacob'S Ladder Neurodevelopmental Learning Center
• David Jacoboff, MD, FACC

• Midwife in Roswell, GA
• Providers in Roswell, GA by specialty
• Midwife in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.