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

Chevis M Jackson

Individual provider Physical Therapy Assistant · NPI 1205413507

Chevis M Jackson is a Physical Therapy Assistant in Cumming, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

125 Samaritan Dr
Cumming, GA 30040-2354
Phone: (770) 889-1644
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA003382 (GA)

Record details

NPI number1205413507
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 24, 2021
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021
Mailing address1335 Oakshyre Pl, Lawrenceville, GA 30043-6435

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