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

Mrs. Matilda Nelms Jackson, PTA

Individual provider Physical Therapy Assistant · NPI 1821210907

Mrs. Matilda Nelms Jackson, PTA is a Physical Therapy Assistant in Vidalia, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

136 Kendall Palmer Rd
Vidalia, GA 30474-8200
Phone: (912) 538-9832
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 000664 (GA)

Record details

NPI number1821210907
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 2, 2007
Last updated in NPPESJuly 8, 2007

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