Active NPI
Monica Denice Jackson, HAIR RESTORATION S
- Prosthetics Case Management
- Atlanta, GA
National Provider Identifier
1508227950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 5143 Old National Hwy
Atlanta, GA 30349-3343 - Phone
- (615) 505-1144
- NPI assigned
- Mar 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | Primary |
Addresses
Primary practice location
5143 Old National Hwy
Atlanta, GA 30349-3343
Mailing address
1001 Mason Tucker Dr
Smyrna, TN 37167-5612
Phone (615) 947-2418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766707200000",
"number": "1508227950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MASON TUCKER DR",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371675612",
"telephone_number": "615-947-2418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5143 OLD NATIONAL HWY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303493343",
"telephone_number": "615-505-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "MONICA",
"middle_name": "DENICE",
"credential": "HAIR RESTORATION S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-14",
"last_updated": "2025-12-26",
"certification_date": "2025-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.