Individual provider Active NPI

Michelar Natoya Taylor Jackson, NP

  • Family Nurse Practitioner
  • Norcross, GA
National Provider Identifier
1932850062
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP272862 Issued in GA
Practice address
6328 Oakwood Cir
Norcross, GA 30093-1639
Phone
(701) 781-2290
NPI assigned
Jan 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP272862 GA Primary

Addresses

Primary practice location

6328 Oakwood Cir
Norcross, GA 30093-1639

Mailing address

6328 Oakwood Cir
Norcross, GA 30093-1639
Phone (701) 781-2290

Other names 1

  • Michelar Natoya Taylor Former 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
I20220808000666 GA Practitioner - Nurse Practitioner 4183006125 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians
The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians

Practice addresses (Care Compare)

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

3366 Hwy 42 S
Suite 100
Locust Grove, GA 30248-3014
Phone (470) 759-2085

3495 Piedmont Rd NE
Atlanta, GA 30305-1729
Phone (404) 364-7206

4475 W Village Pkwy
Ellenwood, GA 30294-2869
Phone (770) 507-7950

5239 Hwy 278 NE
Covington, GA 30014-2671
Phone (678) 660-5106

921 Eagles Landing Pkwy
Stockbridge, GA 30281-5011
Phone (770) 660-5106

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP272862GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians - Southeast PC CurrentSince Nov 1, 2025 Accepting new patients
Emergency Coverage, LLC CurrentSince Nov 26, 2025 Accepting new patients
The Southeast Permanente Medical Group CurrentSince Oct 31, 2025 Accepting new patients
Wellstreet of Georgia PC CurrentSince Feb 1, 2023 Accepting new patients
Georgia Emergency Group, LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 5

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": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1932850062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6328 OAKWOOD CIR",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931639",
            "telephone_number": "701-781-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6328 OAKWOOD CIR",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931639",
            "telephone_number": "701-781-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR JACKSON",
        "first_name": "MICHELAR",
        "middle_name": "NATOYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP272862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELAR",
            "last_name": "TAYLOR",
            "middle_name": "NATOYA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.