Active NPI
Ashley Tierra Jackson
- Peer Specialist
- Charlotte, NC
National Provider Identifier
1013702125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 8331 McClure Cir
Charlotte, NC 28216-1126 - Phone
- (980) 257-2795
- NPI assigned
- Apr 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
8331 McClure Cir
Charlotte, NC 28216-1126
Mailing address
8331 McClure Cir
Charlotte, NC 28216-1126
Phone (980) 257-2795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vertical Rising | Peer Specialist | Current | Accepting new patients |
Locations
8331 McClure Cir
Charlotte, NC 28216
Phone (704) 394-3109
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1013702125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8331 MCCLURE CIR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282161126",
"telephone_number": "980-257-2795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8331 MCCLURE CIR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282161126",
"telephone_number": "980-257-2795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ASHLEY",
"middle_name": "TIERRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-10",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.