Individual provider Active NPI

Emma M. Guice, F.N.P

  • Nurse Practitioner
  • Kennesaw, GA
National Provider Identifier
1932312899
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP095654 Issued in GA
Practice address
1000 Chastain Rd NW
House 52, Student Health Clinic
Kennesaw, GA 30144-5588
Phone
(678) 797-2019
Fax
(770) 499-3655
NPI assigned
May 8, 2007
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN095654 GA
Nurse Practitioner 363L00000X APRN-NP095654 GA Primary
Student in an Organized Health Care Education/Training Program 390200000X RN095654 GA

Addresses

Primary practice location

1000 Chastain Rd NW
House 52, Student Health Clinic
Kennesaw, GA 30144-5588

Mailing address

3273 Barnwell Trce
Powder Springs, GA 30127-5046
Phone (678) 797-2019

Other names 1

  • Ms. Emma M. Jackson Professional 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
I20041105000363 GA Practitioner - Nurse Practitioner 7416910997 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN095654GAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Mar 29, 2014 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Mar 29, 2014 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Kennesaw State University Past Accepting new patients
Rehabilitactics, PC Past Accepting new patients
Kennesaw State University Health Clinic Past Accepting new patients

Locations

1000 Chastain Rd NW
#52
Kennesaw, GA 30144
Phone (678) 797-2019

3215 Campus Loop Rd NW
Kennesaw, GA 30144
Phone (470) 578-6644

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1100 S Marietta Pkwy SE
Marietta, GA 30060
Phone (678) 915-7350

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1932312899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3273 BARNWELL TRCE",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275046",
            "telephone_number": "678-797-2019",
            "fax_number": "770-499-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CHASTAIN RD NW",
            "address_2": "HOUSE 52, STUDENT HEALTH CLINIC",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445588",
            "telephone_number": "678-797-2019",
            "fax_number": "770-499-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUICE",
        "first_name": "EMMA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "F.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN095654",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP095654",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "RN095654",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "JACKSON",
            "middle_name": "M.",
            "prefix": "MS.",
            "credential": "FAMILY NURSE PRACTIT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.