IndividualActive
Itelya Jackson, RN
NPI 1811352412 · In Home Supportive Care Agency · Winston, GA
Itelya Jackson, RN is a In Home Supportive Care Agency provider in Winston, GA (NPI 1811352412).
Provider details
- NPI number
- 1811352412
- Entity type
- Individual
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
83% 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
6957 Pine Shadow Way
Winston, GA 30187-2150
Phone: (678) 540-4446
Fax: (678) 540-4426
Street-level locationGet directions
Mailing address
8491 Hospital Dr # 135
Douglasville, GA 30134-2412
Registry dates
- Enumerated
- 2015-12-23
- Last updated
- 2015-12-23
Frequently asked questions
- What is Itelya Jackson's NPI number?
- Itelya Jackson's National Provider Identifier (NPI) is 1811352412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Itelya Jackson's specialty?
- Itelya Jackson is listed in the NPPES registry with a primary specialty of In Home Supportive Care Agency (Agencies).
- Where is Itelya Jackson located?
- Itelya Jackson's practice location on file with NPPES is 6957 Pine Shadow Way, Winston, GA 30187-2150.
- What is Itelya Jackson's phone number?
- The practice phone number listed in the NPPES registry for Itelya Jackson is (678) 540-4446.
- Is Itelya Jackson's NPI active?
- Yes — Itelya Jackson's NPI (1811352412) is active in the NPPES registry as of the last update on 2015-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.