Cerra Jordan Jackson, CRNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

1-143406 Issued in AL

Practice address

22335 US Highway 72 Ste C
Athens, AL 35613-2611

Phone

(256) 870-4111

NPI assigned

Dec 11, 2019

Last updated

Jul 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cjacksoncrnp@tifm-al.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Tuscaloosa Integrative Family Medicine, LLC

  • Family Medicine Physician
  • Northport, AL
  • NPI 1629331681
  Medicare reassignment NPD
• Integrative Approaches to Wellness

  • Health Service Clinic/Center
  • Tuscaloosa, AL
  • NPI 1639621527
  NPD (past)
• TLC Pediatrics & Family LLC

  • Family Nurse Practitioner
  • Athens, AL
  • NPI 1811523137
  NPD (past)

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1316585219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22335 US HIGHWAY 72 STE C",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132611",
            "telephone_number": "256-870-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22335 US HIGHWAY 72 STE C",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132611",
            "telephone_number": "256-870-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CERRA",
        "middle_name": "JORDAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-143406",
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "AL",
            "license": "1-143406",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-143406",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjacksoncrnp@TIFM-AL.direct.office.nextgen.com",
            "affiliation": "N",
            "endpointDescription": "EHR system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5710 Watermelon Rd Ste 600",
            "city": "Northport",
            "state": "AL",
            "country_code": "US",
            "postal_code": "354737696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angel Ignacio Ibanez
• Phillip R Ingram Jr., MD
• Cassie Coulter Ingrum, NP-C
• Island Medical Athens LLC
• Austin Zeke Jackson, PHARMD.
• Leigh Ann Jackson
• Mark Kent Jackson
• Tiffani Jackson
• Ashley Jae, CRNP
• Towana James, MS

• Primary Care Nurse Practitioner in Athens, AL
• Providers in Athens, AL by specialty
• Primary Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.