Jordan Thackston, FNP-C
NPI 1194533711 · Family Nurse Practitioner · Winder, GA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordan Thackston, FNP-C is a Family Nurse Practitioner provider in Winder, GA (NPI 1194533711).
Provider details
- NPI number
- 1194533711
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- RN287787 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 2129 Friendship RdBuford, GA 30519-2600Phone: (770) 209-2787
- 4038 Winder HwyFlowery Branch, GA 30542-3021Phone: (678) 693-2364
Registry dates
- Enumerated
- 2024-12-28
- Last updated
- 2024-12-28
- Certified
- 2024-12-28
Frequently asked questions
- What is Jordan Thackston's NPI number?
- Jordan Thackston's National Provider Identifier (NPI) is 1194533711, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Thackston's specialty?
- Jordan Thackston is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jordan Thackston located?
- Jordan Thackston's practice location on file with NPPES is 24 Amherst Dr, Winder, GA 30680-7463.
- What is Jordan Thackston's phone number?
- The practice phone number listed in the NPPES registry for Jordan Thackston is (470) 900-4368.
- Does Jordan Thackston accept Medicare?
- Jordan Thackston is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jordan Thackston's NPI active?
- Yes — Jordan Thackston's NPI (1194533711) is active in the NPPES registry as of the last update on 2024-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.