Active NPI
Emma M. Guice, F.N.P
- Nurse Practitioner
- Kennesaw, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN-NP095654
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN095654 | GA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | 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.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
dba WellStar Internal Medicine at Princeton Lakes
- Internal Medicine Physician
- Atlanta, GA
- NPI 1205267192
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Student Health Clinic/Center
- Kennesaw, GA
- NPI 1518207612
-
- Adult Mental Health Clinic/Center
- Kennesaw, GA
- NPI 1831426931
-
- Physical Medicine & Rehabilitation Physician
- Atlanta, GA
- NPI 1710045653
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.