Katherine Justina Jackson, MSN, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

GAA-NP004386 Issued in GA

Practice address

10692 Medlock Bridge Rd Ste 100a
Johns Creek, GA 30097-8497

Phone

(404) 446-2496

Fax

(404) 446-2497

NPI assigned

Feb 19, 2024

Last updated

Jan 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

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.

• Modern Obstetrics and Gynecology of North Atlanta PC

  • Obstetrics & Gynecology Physician
  • Johns Creek, GA
  • NPI 1669784252

  Single Specialty

  NPD (past)
• North Perimeter Anesthesia LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1457716516

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1649035791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 BLAIR CIR NE UNIT 1408",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192243",
            "telephone_number": "205-566-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10692 MEDLOCK BRIDGE RD STE 100A",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978497",
            "telephone_number": "404-446-2496",
            "fax_number": "404-446-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KATHERINE",
        "middle_name": "JUSTINA",
        "credential": "MSN, WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "GAA-NP004386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrity Health Consultants
• Megan Christina Izutani, RDH
• Aubrey Jackson
• Bridgitte L. Jackson, FNP, AOCN
• Denise Jackson
• Clyde Tyrone Jacob III, M.D.
• Amanda Jacobs, DPT
• Skyler J Jacobs, CNM
• Janet Rita James
• Saraswathi Jampala, MD

• Women's Health Nurse Practitioner in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Women's Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.