Individual provider Active NPI

Adrianna Nikohl Jackson, WHNP-BC

  • Women's Health Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1588469696
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
GAA-NP003519 Issued in GA
Practice address
55 Whitcher St NE Ste 430
Marietta, GA 30060-1171
Phone
(770) 819-9211
NPI assigned
Feb 14, 2025
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X GAA-NP003519 GA Primary

Addresses

Primary practice location

55 Whitcher St NE Ste 430
Marietta, GA 30060-1171

Mailing address

7503 Country Hill LN
Tuscaloosa, AL 35405-3950

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
I20250821004482 GA Practitioner - Nurse Practitioner 4789184045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obstetrix Medical Group of Atlanta, LLCGroup PAC ID 8527105253, 4 clinicians

Practice addresses (Care Compare)

1700 Hospital S Dr
Suite 301
Austell, GA 30106-8116
Phone (770) 819-9211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GAA-NP003519GAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Atlanta, LLC CurrentSince Jul 1, 2025 Accepting new patients
Pediatrix Medical Group of Georgia, P.C. PastSince Jul 1, 2025 Accepting new patients

Locations

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1700 Hospital South Dr
Ste 301
Austell, GA 30106
Phone (770) 819-9211

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

55 Whitcher St NE
Ste 430
Marietta, GA 30060
Phone (770) 819-9211

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

Interoperability endpoints

  • Direct secure messaging: adrianna.jacksonwhnp.p40@direct.mednax.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1588469696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7503 COUNTRY HILL LN",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354053950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WHITCHER ST NE STE 430",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601171",
            "telephone_number": "770-819-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ADRIANNA",
        "middle_name": "NIKOHL",
        "name_prefix": "Ms.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "GAA-NP003519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.