LESLIE SCHAAD JACKSON (FNP-C) – Family Nurse Practitioner, NPI 1083057152
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for LESLIE SCHAAD JACKSON (FNP-C)
460 NORTHSIDE CHEROKEE BLVD
SUITE 170
CANTON, GA 301158016
Phone: (770) 721-9170
Fax: (770) 721-9171
Type: Mailing
10515 BELLS FERRY RD STE 200
CANTON, GA 301144204
Phone: (678) 493-0752
Fax: (678) 493-2401
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 112 Open Payments records for all available years, with a total value of $2,075.
Total Amount is formed as General ($2,075) + Research ($0) + Ownership ($0) = $2,075.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($300).
Total Amount
$2,075
General + Research + Ownership
Payments
112
Total payment records
General Amount
$2,075
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $300 |
| Lilly USA, LLC | $274 |
| ABBVIE INC. | $178 |
| Ascensia Diabetes Care Us Inc. | $114 |
| Amgen Inc. | $90 |
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: 2014-09-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140927000511 | I | Nurse Practitioner | GA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 110 | 78 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 62 | 48 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 38 | 38 | $0 |
| 81003 | Automated urinalysis test | 22 | 19 | $0 |
| G0008 | Administration of influenza virus vaccine | 20 | 20 | $0 |
Insurance plans in this area (ZIP 30115)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| - | GA | |
| - | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Family Practice | GA | |
| Endocrinology, Internal Medicine | MN |
Reviews
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