Holly M Jackson, NP in Carrollton, GA - Medicare Nurse Practitioner

Holly M Jackson, NP is a medicare enrolled "Nurse Practitioner - Family" in Carrollton, Georgia. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tanner Medical Group and her current practice location is 905 Dixie St, Carrollton, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 812-5831.

Holly M Jackson is licensed to practice in Georgia (license number RN216051) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427576511.

Contact Information

	Holly M Jackson, NP
	905 Dixie St, Carrollton, GA 30117-4417
	(770) 812-5831
	Not Available

Map and Direction

Provider's Profile

Full Name	Holly M Jackson
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	905 Dixie St, Carrollton, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Holly M Jackson graduated from nursing school in 2017

NPI Data:

NPI Number: 1427576511
Provider Enumeration Date: 09/08/2017
Last Update Date: 09/08/2017

Medicare PECOS Information:

PECOS PAC ID: 8123384989
Enrollment ID: I20171110000478

Medical Identifiers

Medical identifiers for Holly M Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427576511	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN216051 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tanner Medical Center - Carrollton	Carrollton, GA	Hospital
Tanner Medical Center Villa Rica	Villa rica, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tanner Medical Group	2769536143	98

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Holly M Jackson allows following entities to bill medicare on her behalf.

Entity Name	Tmc Immediate Care, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386708097 PECOS PAC ID: 9133105976 Enrollment ID: O20040624000840

Entity Name	Tanner Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holly M Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Holly M Jackson, NP 119 Ambulance Dr Ste 202, Carrollton, GA 30117-3857 Ph: (770) 838-8710	Holly M Jackson, NP 905 Dixie St, Carrollton, GA 30117-4417 Ph: (770) 812-5831

Reviews and Comments

Nurse Practitioner Nurses in Carrollton, GA

Sheila Reece Walls, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4248 Mount Zion Rd, Carrollton, GA 30117 Phone: 770-836-0103 Fax: 770-834-8828
Latoya Pulliam Bexley, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 Dixie St, Carrollton, GA 30117 Phone: 678-796-0681 Fax: 770-836-8477
Emilia Grace Janney, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 Tanner St, Carrollton, GA 30117 Phone: 770-537-1234 Fax: 770-537-1237
Mr. Matthew Henderson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Clinic Ave Ste 101, Carrollton, GA 30117 Phone: 770-834-0873
Ronda S Phillips, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Suite 401, Carrollton, GA 30117 Phone: 770-838-8824 Fax: 770-838-8922
Amy Hicks, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Rome St, Carrollton, GA 30117 Phone: 404-301-4042
Stephanie Jones, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 706 Dixie St Ste 200, Carrollton, GA 30117 Phone: 770-214-2121

Holly M Jackson, NP - Medicare Nurse Practitioner in Carrollton, GA