Tremeze Scott Jackson, PMHNP-BC, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN228481 Issued in GA

Practice address

3295 River Exchange Dr Ste 211
Norcross, GA 30092-4204

Phone

(770) 405-9855

NPI assigned

Jul 18, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advantage Behavioral Health SystemsGroup PAC ID 1052200599, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advantage Behavioral Health Systems

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Athens, GA
  • NPI 1942270558
  Medicare reassignment Care Compare group
• Georgia Pines Community Service Board

  • Community/Behavioral Health Agency
  • Thomasville, GA
  • NPI 1366506958
  Medicare reassignment NPD
• McIntosh Trail Community Service Board

  • Community/Behavioral Health Agency
  • Griffin, GA
  • NPI 1336317270
  Medicare reassignment NPD
• Maximized Mentality

  • Adult Mental Health Clinic/Center
  • Norcross, GA
  • NPI 1518644459
  NPD Authorized official
• McIntosh Trail Community Service Board

  • Community/Behavioral Health Agency
  • Griffin, GA
  • NPI 1386708212
  NPD

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688256000000",
    "number": "1477076792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 BROOKSTONE DR NW STE 250",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017183",
            "telephone_number": "770-405-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 RIVER EXCHANGE DR STE 211",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924204",
            "telephone_number": "770-405-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TREMEZE",
        "middle_name": "SCOTT",
        "credential": "PMHNP-BC, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2023-07-02",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN228481",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN228481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intermed PC
• International Family Dental Center P.C.
• Isilda Isaza
• Vladislav Iskhakov, PT, DPT
• Iwc East LLC
• Welaundria Jackson, BCBA
• James Z Bowcock MD PC
• Andrea Raquel James
• Jane T. St Clair, MD, PC
• Mi Jeong Jang, RN277426

• Family Nurse Practitioner in Norcross, GA
• Providers in Norcross, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2023; 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.