Cencereitte Canty-Jackson, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN217763 Issued in GA

Practice address

996 Chapman Dr
Macon, GA 31211-7214

Phone

(478) 232-4590

NPI assigned

Dec 11, 2024

Last updated

Dec 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Heart Physicians LLCGroup PAC ID 0345204418, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ccantyjackson2995775@carolinashealthcaresystem.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/HHAAAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Georgia Heart Physicians LLC

  • Cardiovascular Disease Physician
  • Macon, GA
  • NPI 1407994437
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Medical Center of Central Georgia Inc

  dba Atrium Health Navicent The Medical Center

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564
  Care Compare affiliation

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1083421242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 CHAPMAN DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312117214",
            "telephone_number": "478-232-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 CHAPMAN DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312117214",
            "telephone_number": "478-232-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTY-JACKSON",
        "first_name": "CENCEREITTE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN217763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candler Road Dental, PC (Franklin Dental & Braces)
• Christopher Douglas Canicatti, PT
• Jennifer Rena Cannon, P.A.-C
• Randall Clay Cannon, PT
• Brandon Cantrell, PA
• Capital Anesthesia Associates, LLC
• Shelby Laray Caprara
• Laura Julie Caraway, AGACNP
• Cardinal Anesthesia
• Cardinal Health Pharmacy Services LLC (First Choice Community Pharmacy)

• Nurse Practitioner in Macon, GA
• Providers in Macon, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.