Individual provider Active NPI

Brittany Jessica Jackson, NP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1679170492
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN273621 Issued in GA
Practice address
735 Piedmont Ave NE
Atlanta, GA 30308-1416
Phone
(404) 588-4680
Fax
(404) 588-4692
NPI assigned
Oct 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN273621 GA Primary

Addresses

Primary practice location

735 Piedmont Ave NE
Atlanta, GA 30308-1416

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

Other names 1

  • Ms. Brittany Jessica Nembhard Former name

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
I20240611003055 GA Practitioner - Nurse Practitioner 5395287908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
AIDS Healthcare FoundationGroup PAC ID 2668369109, 101 clinicians

Practice addresses (Care Compare)

735 Piedmont Ave NE
Atlanta, GA 30308-1416
Phone (404) 588-4680

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN273621GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Healthcare Foundation CurrentSince Apr 15, 2024 Accepting new patients
AIDS Healthcare Foundation CurrentSince Apr 15, 2024 Accepting new patients
AIDS Healthcare Foundation Past Accepting new patients

Locations

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

1438 W Peachtree St NW
Atlanta, GA 30309
Phone (470) 283-7349

735 Piedmont Ave NE
Atlanta, GA 30308
Phone (404) 588-4680

5700 Hillandale Dr
Ste 100
Lithonia, GA 30058
Phone (770) 593-6684

Interoperability endpoints

  • Direct secure messaging: brittany.jackson.1@26356.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1679170492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 PIEDMONT AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081416",
            "telephone_number": "404-588-4680",
            "fax_number": "404-588-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BRITTANY",
        "middle_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN273621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "NEMBHARD",
            "middle_name": "JESSICA",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.