David Ray Jackson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN154383 Issued in GA

Practice address

2301 N Ashley St
Valdosta, GA 31602-2620

Phone

(229) 270-2403

Fax

(229) 468-0688

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

No

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.

• SGMC Affiliated Services LLC

  • Multi-Specialty Clinic/Center
  • Valdosta, GA
  • NPI 1114740362

  GA

  Medicare reassignment Care Compare group NPD
• Care Medical Center LLC

  • Exclusive Provider Organization
  • Valdosta, GA
  • NPI 1063521250

  GA

  Medicare reassignment NPD
• North Oak Family Medicine LLC

  • Internal Medicine Physician
  • Valdosta, GA
  • NPI 1417668021

  GA

  Medicare reassignment NPD
• South Central Primary Care Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Valdosta, GA
  • NPI 1467223818

  GA

  Medicare reassignment NPD
• South Georgia Emergency Medicine Associates PC

  • Emergency Medicine Physician
  • Thomasville, GA
  • NPI 1386903649

  GA

  Medicare reassignment NPD
• Care Medical Center LLC

  • Chiropractor
  • Waycross, GA
  • NPI 1376236232
  NPD
• Emergency Medicine South LLC

  • Emergency Medicine Physician
  • Valdosta, GA
  • NPI 1194785170
  NPD (past)
• South Central Primary Care Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Pearson, GA
  • NPI 1558445742
  NPD (past)

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

• South Georgia Medical Center Inc

  • General Acute Care Hospital
  • Valdosta, GA
  • NPI 1144096553

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SGMC Affiliated Services LLC 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SGMC Health Hospital, Valdosta, GA, CCN 110122

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.jackson@tnc.directbygreenway.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 25, 2025.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1215079983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 4TH ST",
            "city": "OCILLA",
            "state": "GA",
            "postal_code": "317741539",
            "telephone_number": "229-468-9166",
            "fax_number": "229-468-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N ASHLEY ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022620",
            "telephone_number": "229-270-2403",
            "fax_number": "229-468-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DAVID",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN154383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jermika L Jackson, RBT
• Sarah L. Jackson, RD., LDN.
• Shetia Donyette Jackson, BSW

• All providers in Valdosta, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.