Carroll Davis Jackson, APRN
Nurse Practitioner, Family in Adel, GA. Individual provider (NPI-1).
NPI number1982111704
StatusActive
Last updated in NPPESOct 13, 2025
Details
- NPI
- 1982111704
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Carroll Davis Jackson
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2018
- Certification date
- Oct 13, 2025
- Last updated
- Oct 13, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | NP167907 | GA | Yes |
Practice location
172 Mj Taylor RdAdel, GA 31620-3497
Phone 229-896-8500
Mailing address
907 18th St E Ste 400Tifton, GA 31794-3684
Phone 229-353-3422 · Fax 229-353-6060
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Nurse Practitioner providers in Adel, GA
- Tammy Charlene Carter, FNP-CNPI 1457965154
- Ivy Lancaster Godwin, FNPNPI 1811612609
- Priscilla R Greene, FHNPNPI 1184731564
- Michaela Hagy, FNPNPI 1902545585
- Caroline Hendley, FNP-CNPI 1679962807
- Melissa Michelle Roberts, FNP-CNPI 1588328454
- Amanda Kathleen TaylorNPI 1780597328
- David K. VickersNPI 1629518014
- Alexander Warren, FNP-CNPI 1144699141
- Whitney Howell Willis, APRNNPI 1235035627
All 11 Family Nurse Practitioner providers in Adel · All 146 providers in Adel
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.