Individual provider Active NPI

Nekia Geneva Jackson, FNP-C

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1821606658
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN264287 Issued in GA
Practice address
2 Embarcadero Ctr Lbby Level
San Francisco, CA 94111-3823
Phone
(888) 663-6331
NPI assigned
Jul 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95020194 CA
Family Nurse Practitioner 363LF0000X RN264287 GA Primary

Addresses

Primary practice location

2 Embarcadero Ctr Lbby Level
San Francisco, CA 94111-3823

Mailing address

124 Osier Dr
McDonough, GA 30252-8964
Phone (470) 774-6162

Other names 1

  • Nekia Geneva McNair Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX, NY, RI, FL, VA, WV, TN8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20201113000375 GA Practitioner - Nurse Practitioner 1254741689 Reassigns benefits to 1 organization
I20230222002211 TX Practitioner - Nurse Practitioner 1254741689
I20230803002743 NY Practitioner - Nurse Practitioner 1254741689
I20230803002958 RI Practitioner - Nurse Practitioner 1254741689
I20230804000198 FL Practitioner - Nurse Practitioner 1254741689
I20230810003560 VA Practitioner - Nurse Practitioner 1254741689
I20230925003728 WV Practitioner - Nurse Practitioner 1254741689 Reassigns benefits to 1 organization
I20240306002274 TN Practitioner - Nurse Practitioner 1254741689

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN264287GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners California PC Current Accepting new patients
Minuteclinic LLC Family CurrentSince Aug 24, 2020 Accepting new patients
Openloop Healthcare Partners Colorado, PC CurrentSince Jun 26, 2023 Accepting new patients
Openloop Healthcare Partners California PC CurrentSince Jun 26, 2023 Accepting new patients
Cloud Health Medical Group of California, P.C. Family Medicine Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Fast Doc LLC Family Medicine Past Accepting new patients

Locations

3707 E Southern Ave
#1
Mesa, AZ 85206
Phone (424) 387-6806

2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937

1600 Broadway
Ste 1600
Denver, CO 80202
Phone (970) 592-8970

2 N Zack Hinton Pkwy
McDonough, GA 30253
Phone (770) 507-0576

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

80 Broad St
Fl 5
New York, NY 10004
Phone (201) 286-1122

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

6000 Poplar Ave
Ste 250
Memphis, TN 38119
Phone (901) 451-9577

4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501

Organizations & group practices 8

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": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1821606658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 OSIER DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302528964",
            "telephone_number": "470-774-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EMBARCADERO CTR LBBY LEVEL",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113823",
            "telephone_number": "888-663-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "NEKIA",
        "middle_name": "GENEVA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020194",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN264287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEKIA",
            "last_name": "MCNAIR",
            "middle_name": "GENEVA",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.