What is Candace Jackson's NPI number?

Candace Jackson's National Provider Identifier (NPI) is 1639895816, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Candace Jackson's specialty?

Candace Jackson is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).

Where is Candace Jackson located?

Candace Jackson's practice location on file with NPPES is 825 Peninsula Dr, Davidson, NC 28036-7302.

What is Candace Jackson's phone number?

The practice phone number listed in the NPPES registry for Candace Jackson is (704) 896-3278.

Is Candace Jackson's NPI active?

Yes — Candace Jackson's NPI (1639895816) is active in the NPPES registry as of the last update on 2022-10-18.

IndividualActive

Candace Jackson, PTA

NPI 1639895816 · Physical Therapy Assistant · Davidson, NC

Candace Jackson, PTA is a Physical Therapy Assistant provider in Davidson, NC (NPI 1639895816).

Provider details

NPI number: 1639895816
Entity type: Individual
Primary specialty: Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: PTA
Sex: Female
Sole proprietor: No
License: A-3679 (NC)

Practice location

825 Peninsula Dr

Davidson, NC 28036-7302

Phone: (704) 896-3278

Street-level locationGet directions

More NC providers

Mailing address

2225 Jackson Rd

Mooresville, NC 28115-7514

Specialties & taxonomies

Physical Therapy AssistantPrimary225200000XLicense A-3679 (NC)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Profile Score

Established profile(60/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 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.

Enumerated: 2022-10-18
Last updated: 2022-10-18
Certified: 2022-10-18

Frequently asked questions

What is Candace Jackson's NPI number?: Candace Jackson's National Provider Identifier (NPI) is 1639895816, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Candace Jackson's specialty?: Candace Jackson is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
Where is Candace Jackson located?: Candace Jackson's practice location on file with NPPES is 825 Peninsula Dr, Davidson, NC 28036-7302.
What is Candace Jackson's phone number?: The practice phone number listed in the NPPES registry for Candace Jackson is (704) 896-3278.
Is Candace Jackson's NPI active?: Yes — Candace Jackson's NPI (1639895816) is active in the NPPES registry as of the last update on 2022-10-18.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions