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

Jonathan D Jackson, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1104553924

Jonathan D Jackson, FNP-BC is a Nurse Practitioner in Ringgold, Georgia. Qualified in 2020, 6 years ago. Practices with Dx MSO of Georgia LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2022
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

25 Tranquil Ln
Ringgold, GA 30736-2859
Phone: (423) 902-9979
Fax: (423) 373-1228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN162421 (GA)

Record details

NPI number1104553924
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedAugust 2, 2022
Last updated in NPPESAugust 2, 2022
Certification dateJuly 29, 2022
Mailing address25 Tranquil Ln, Ringgold, GA 30736-2859

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Dx Mso Of Georgia Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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