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

Purdy Jackson

Individual provider Registered Dietitian · NPI 1265055669

Purdy Jackson is a Registered Dietitian in Carrollton, Georgia. Licensed in Georgia. Registered with an NPI since 2020.

Licensed in
GA
In the registry since
2020

Practice location Address checks out

705 Dixie St
Carrollton, GA 30117-3818
Phone: (770) 812-9666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86113132 (GA)

Record details

NPI number1265055669
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 20, 2020
Last updated in NPPESMay 20, 2020
Certification dateMay 20, 2020
Mailing address705 Dixie St, Carrollton, GA 30117-3818

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