MARIAH JEAN JACKSON-ARNETT (MD) – Emergency Medicine Physician, NPI 1023758760

MARIAH JEAN JACKSON-ARNETT (MD) is a healthcare provider. based in Gainesville, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 60342 (KY). The NPI Number for MARIAH JEAN JACKSON-ARNETT (MD) is 1023758760

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MARIAH JEAN JACKSON-ARNETT (MD)
NPI
1023758760
Phone
(770) 219-8730
Address
743 Spring St NE Ste 701
Enumeration Date
30 March 2022
Last Update Date
13 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
9549395000
Graduation Year
2022 (4 years ago)
PAC ID
6507371382
Group Practice PAC ID
5799034799
Professional Enrollment ID
I20250711001343
Address ID
KY420033813PA2501XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

1,513 EMERGENCY MEDICINE in GA

Provider Addresses for MARIAH JEAN JACKSON-ARNETT (MD)

  • 743 Spring St NE Ste 701

    Gainesville, GA 305013715

    Phone: (770) 219-8730

    Type: Location

  • 743 SPRING ST NE STE 701

    GAINESVILLE, GA 305013715

    Phone: (770) 219-8730

    Type: Location

  • 1 TRILLIUM WAY

    CORBIN, KY 407018426

    Phone: (606) 528-1212

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250711001343IEmergency MedicineKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799034799View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineOH
-KY
Internal Medicine, Emergency MedicineKY
Emergency MedicineCA
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineCO
Emergency MedicineNJ
Emergency MedicineKY

Reviews

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Frequently asked questions

What unique ID ties claims to MARIAH JEAN JACKSON-ARNETT (MD)?
NPI 1023758760 is assigned to MARIAH JEAN JACKSON-ARNETT (MD) under the national enumeration system.
Is MARIAH JEAN JACKSON-ARNETT (MD) active in the national directory?
MARIAH JEAN JACKSON-ARNETT (MD)'s public NPI profile is in an active state.
Can you summarize MARIAH JEAN JACKSON-ARNETT (MD)'s specialty in plain language?
Clinically, the directory lists MARIAH JEAN JACKSON-ARNETT (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARIAH JEAN JACKSON-ARNETT (MD)?
The page summarizes Gainesville, Georgia for MARIAH JEAN JACKSON-ARNETT (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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