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

Elizabeth A. Jackson, NP-C

Individual provider Registered Nurse · NPI 1477959914

Elizabeth A. Jackson, NP-C is a Nurse Practitioner in Newnan, Georgia. Qualified in 2015, 11 years ago. Practices with Piedmont Specialty Hospital Billing LLC, a 249-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2014
Specialties on file
3
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

745 Poplar Rd
Newnan, GA 30265-1618
Phone: (404) 367-3014
Fax: (404) 367-3558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence RN146361 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN146361 (GA)
Gerontology Clinical Nurse Specialist Taxonomy 364SG0600X · Licence RN146361 (GA)

Record details

NPI number1477959914
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedNovember 11, 2014
Last updated in NPPESMay 16, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Piedmont Specialty Hospital Billing Llc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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