Individual provider Active NPI

Alisa McCall Jackson, FNP-C

  • Family Nurse Practitioner
  • Woodstock, GA
National Provider Identifier
1255946133
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08200861 Issued in GA
Practice address
6478 Putnam Ford Dr Ste 105
Woodstock, GA 30189-6988
Phone
(770) 599-5127
Fax
(404) 470-3112
NPI assigned
Sep 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F08200861 GA Primary

Addresses

Primary practice location

6478 Putnam Ford Dr Ste 105
Woodstock, GA 30189-6988

Mailing address

6478 Putnam Ford Dr Ste 105
Woodstock, GA 30189-6988
Phone (770) 599-5127

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210727003549 GA Practitioner - Nurse Practitioner 0345643441 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heal Well Healthcare Solutions LLCGroup PAC ID 2062933013, 2 clinicians
Aylo Health, LLCGroup PAC ID 8022901925, 112 clinicians

Practice addresses (Care Compare)

Woodstock, GA 30189
Phone (770) 599-5127

3290 Sixes Rd
Canton, GA 30114-9102
Phone (770) 914-0116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F08200861GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC CurrentSince Dec 19, 2022 Accepting new patients
Heal Well Healthcare Solutions, LLC Family CurrentSince Jan 28, 2025 Accepting new patients
Transit Home Care Consultants, LLC CurrentSince Nov 27, 2022 Accepting new patients
D L Murray MD PC CurrentSince Jul 1, 2021 Accepting new patients
Aylo Health, LLC CurrentSince Aug 1, 2024 Accepting new patients
Aylo Health, LLC CurrentSince Aug 1, 2024 Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Past Accepting new patients

Locations

3333 Riverwood Pkwy SE
Ste 250
Atlanta, GA 30339
Phone (770) 914-0016

920 Dannon Vw SW
Ste 3103
Atlanta, GA 30331
Phone (404) 549-9471

4760 Austell Rd
Ste 13
Austell, GA 30106
Phone (678) 464-4636

4760 Austell Rd
Ste 1
Austell, GA 30106
Phone (404) 549-9471

3290 Sixes Rd
Canton, GA 30114
Phone (678) 374-7514

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

2985 Mack Dobbs Rd NW
Kennesaw, GA 30152
Phone (770) 268-4011

5750 Brook Hollow Pkwy
Norcross, GA 30071
Phone (770) 559-8271

145 Eagles Walk
Ste A
Stockbridge, GA 30281
Phone (770) 389-3855

6478 Putnam Ford Dr
Ste 105
Woodstock, GA 30189
Phone (770) 599-5127

Organizations & group practices 9

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": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1255946133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6478 PUTNAM FORD DR STE 105",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896988",
            "telephone_number": "770-599-5127",
            "fax_number": "404-470-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6478 PUTNAM FORD DR STE 105",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896988",
            "telephone_number": "770-599-5127",
            "fax_number": "404-470-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ALISA",
        "middle_name": "MCCALL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F08200861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.