Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Krisa Forehand Jackson, ATC, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982186847

Krisa Forehand Jackson, ATC, PA-C is a Physician Assistant in Macon, Georgia. Qualified in 2025, 1 year ago. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2018
Specialties on file
3
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

442 Ga Highway 57
Macon, GA 31217-2803
Phone: (478) 550-0212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13715 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X · Licence AT003814 (GA)

Record details

NPI number1982186847
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , PA-C
Sole proprietorNo
NPI enumeratedSeptember 6, 2018
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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