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

Mr. David Ray Jackson, NP

Individual provider Family Nurse Practitioner · NPI 1215079983

Mr. David Ray Jackson, NP is a Nurse Practitioner in Valdosta, Georgia. Qualified in 2001, 25 years ago. Practices with Sgmc Affiliated Services LLC, a 41-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
25
Licensed in
GA
In the registry since
2007
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2301 N Ashley St
Valdosta, GA 31602-2620
Phone: (229) 270-2403
Fax: (229) 468-0688
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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 RN154383 (GA)

Record details

NPI number1215079983
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 12, 2007
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing address204 E 4th St, Ocilla, GA 31774-1539

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Sgmc Affiliated Services Llc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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