Krisa Forehand Jackson, ATC, PA-C
Physician Assistant in Macon, GA. Individual provider (NPI-1).
NPI number1982186847
StatusActive
Last updated in NPPESAug 25, 2026
Details
- NPI
- 1982186847
- Entity type
- Individual (NPI-1)
- Name
- Krisa Forehand Jackson
- Credential
- ATC, PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2018
- Certification date
- Aug 25, 2026
- Last updated
- Aug 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 13715 | GA | Yes |
Practice location
840 Pine St Ste 500Macon, GA 31201-7530
Phone 478-633-8682 · Fax 478-633-8698
Mailing address
840 Pine St Ste 500Macon, GA 31201-7530
Phone 478-633-8682 · Fax 478-633-8698
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All 93 Physician Assistant providers in Macon · All 5,121 providers in Macon
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