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

Kierney Elizabeth Jackson, PA

Individual provider Physician Assistant · NPI 1003057621

Kierney Elizabeth Jackson, PA is a Physician Assistant in Gainesville, Georgia. Graduated from University of Alabama School of Medicine in 2008, 18 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia, North Carolina and South Carolina.

Years since qualifying
18
Trained at
University of Alabama School of Medicine
Licensed in
GA, NC, SC
In the registry since
2009
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

200 S Enota Dr NE Ste 360
Gainesville, GA 30501-3466
Phone: (770) 219-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1350 S Kings Dr, Charlotte, NC 28207-2134 — (704) 446-1255

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7782 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 1397 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 0010-02288 (NC)

Record details

NPI number1003057621
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 11, 2009
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing addressPo Box 742616, Atlanta, GA 30374-2616

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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