Chevis Jackson
NPI 1205413507 · Physical Therapy Assistant · Cumming, GA
Chevis Jackson is a Physical Therapy Assistant provider in Cumming, GA (NPI 1205413507).
Provider details
- NPI number
- 1205413507
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PTA003382 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2021-03-24
- Last updated
- 2021-03-24
- Certified
- 2021-03-24
Frequently asked questions
- What is Chevis Jackson's NPI number?
- Chevis Jackson's National Provider Identifier (NPI) is 1205413507, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Chevis Jackson's specialty?
- Chevis Jackson is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Chevis Jackson located?
- Chevis Jackson's practice location on file with NPPES is 125 Samaritan Dr, Cumming, GA 30040-2354.
- What is Chevis Jackson's phone number?
- The practice phone number listed in the NPPES registry for Chevis Jackson is (770) 889-1644.
- Is Chevis Jackson's NPI active?
- Yes — Chevis Jackson's NPI (1205413507) is active in the NPPES registry as of the last update on 2021-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.