Amber Kay Jackson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010686 Issued in GA

Practice address

1301 Shiloh Rd NW Ste 130
Kennesaw, GA 30144-7148

Phone

(404) 807-9290

NPI assigned

Jul 19, 2022

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

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 and National Provider Directory roles.

• Vaughn Chiropractic LLC

  • Chiropractor
  • Dallas, GA
  • NPI 1588025944
  NPD (past)

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1689309288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 KENTMERE MAIN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446141",
            "telephone_number": "404-807-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 130",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447148",
            "telephone_number": "404-807-9290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5835 Campbellton Rd SW Ste 204",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303318014",
            "country_code": "US",
            "telephone_number": "404-349-3601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 Golf Crest Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301012698",
            "country_code": "US",
            "telephone_number": "770-443-0090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "AMBER",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jetoria Irving
• Maha Islam
• Lindsey Isley
• Madison Margaret Iuliano, DC
• J Marseille Management, Inc.
• Ashley Jackson, PH.D.
• Breiane Jackson, LICENSED CPHT
• Darryl Maurice Jackson
• Jadah Jackson
• Joi Jackson

• Chiropractor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.

Verify at the official NPI Registry.