Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chanda Waller Jackson, NP

Individual provider Nurse Practitioner · NPI 1245742329

Chanda Waller Jackson, NP is a Nurse Practitioner in Atlanta, Georgia. Qualified in 2017, 9 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2017
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

95 Collier Rd NW Ste 5015
Atlanta, GA 30309-1721
Phone: (404) 605-6517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 Peachtree Street, Atlanta, GA 30308 — (404) 686-7858

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN213894 (GA)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence RN213894 (GA)

Record details

NPI number1245742329
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 30, 2017
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023
Mailing address550 Peachtree Street, Davis Fisher Building, Office 3245a, Atlanta, GA 30308

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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