Mr Kevin Eric Glenn Jackson, MSN, APRN, FNP-C - Medicare Nurse Practitioner in Dahlonega, GA

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Mr Kevin Eric Glenn Jackson, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Dahlonega, Georgia. His current practice location is 153 School Dr, Dahlonega, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 973-3215.

Mr Kevin Eric Glenn Jackson is licensed to practice in Georgia (license number RN231401) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861185753.

Contact Information

Mr Kevin Eric Glenn Jackson, MSN, APRN, FNP-C
153 School Dr,
Dahlonega, GA 30533-0313
(706) 973-3215
(706) 973-3216

Map and Direction




Provider's Profile

Full NameMr Kevin Eric Glenn Jackson
GenderMale
SpecialityNurse Practitioner - Family
Location153 School Dr, Dahlonega, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861185753
  • Provider Enumeration Date: 05/29/2023
  • Last Update Date: 04/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2769842475
  • Enrollment ID: I20230713000431

Medical Identifiers

Medical identifiers for Mr Kevin Eric Glenn Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861185753NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN231401 (Georgia)Primary

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. Mr Kevin Eric Glenn Jackson allows following entities to bill medicare on his behalf.
Entity NameGeorgia Mountains Health Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538123666
PECOS PAC ID: 7719974831
Enrollment ID: O20040429000383

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. Mr Kevin Eric Glenn 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 AddressPractice Location Address
Mr Kevin Eric Glenn Jackson, MSN, APRN, FNP-C
165 Blue Ridge Overlook,
Blue Ridge, GA 30513-4431

Ph: (706) 946-5607		Mr Kevin Eric Glenn Jackson, MSN, APRN, FNP-C
153 School Dr,
Dahlonega, GA 30533-0313

Ph: (706) 973-3215

Reviews and Comments


Nurse Practitioner Nurses in Dahlonega, GA

Abby Ann Brown, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 400 Walmart Way Ste F, Dahlonega, GA 30533
Phone: 706-867-7666    
Lindsey Michelle Abreu, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 59 Tipton Dr, Dahlonega, GA 30533
Phone: 706-864-8385    Fax: 706-864-5073
Megan Ward, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 82 College Ln, Dahlonega, GA 30533
Phone: 706-864-1400    
Suzanne A Childers, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1300 S Chestatee, Dahlonega, GA 30533
Phone: 706-867-6005    Fax: 706-867-6012
Mackenzie Carin Miller, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 400 Walmart Way Ste F, Dahlonega, GA 30533
Phone: 706-867-7666    
Carolyn Lizzy Mwangi,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 330 Mount Sinai Dr, Dahlonega, GA 30533
Phone: 404-797-7442    
Erica Golden Watson, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 59 Tipton Dr, Dahlonega, GA 30533
Phone: 770-800-3455    Fax: 770-450-8024

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.