Joy Jackson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN063451 Issued in GA

Practice address

4152 Baker St NE
Covington, GA 30014-1404

Phone

(770) 788-1077

Fax

(770) 805-9329

NPI assigned

Jun 18, 2013

Sex

Female

Sole proprietor

No

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.

• Lisa D Miller MD Pediatrics PC

  • Pediatrics Physician
  • Covington, GA
  • NPI 1659352185
  NPD (past)

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1780023283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 BAKER ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141404",
            "telephone_number": "770-788-1077",
            "fax_number": "770-805-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 BAKER ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141404",
            "telephone_number": "770-788-1077",
            "fax_number": "770-805-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JOY",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN063451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda C Isaacs
• Ispm ASC at Covington, LLC
• Ispm ASC at Covington, LLC
• Chineta Jackson
• Deallen Jackson
• Kimberly D. Jackson, M.S., CCC-SLP
• Vagillia Faye Jackson, LMSW
• Veronica S Jackson, FNP
• William Marc Jackson, DC
• Jacob's Well Medical Center

• Family Nurse Practitioner in Covington, GA
• Providers in Covington, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.