Kalita Jackson, FNP-C
NPI 1679847057 · Family Nurse Practitioner · Lawrenceville, GA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kalita Jackson, FNP-C is a Family Nurse Practitioner provider in Lawrenceville, GA (NPI 1679847057).
Provider details
- NPI number
- 1679847057
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN191958 (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
14 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
- 2012-03-01
- Last updated
- 2020-02-08
- Certified
- 2020-02-08
Frequently asked questions
- What is Kalita Jackson's NPI number?
- Kalita Jackson's National Provider Identifier (NPI) is 1679847057, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kalita Jackson's specialty?
- Kalita Jackson is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kalita Jackson located?
- Kalita Jackson's practice location on file with NPPES is 500 Medical Center Blvd Ste 310, Lawrenceville, GA 30046-3332.
- What is Kalita Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kalita Jackson is (678) 629-7139.
- Does Kalita Jackson accept Medicare?
- Kalita Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kalita Jackson's NPI active?
- Yes — Kalita Jackson's NPI (1679847057) is active in the NPPES registry as of the last update on 2020-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.