MS. NERISSA JACKSON (PA-C) – Physician Assistant, NPI 1144367749
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for MS. NERISSA JACKSON (PA-C)
PO BOX 1253
SNELLVILLE, GA 300781253
Phone: (315) 403-4961
Type: Mailing
7386 FRIENDSHIP SPRINGS BLVD STE J
FLOWERY BRANCH, GA 305425548
Phone: (470) 451-0646
Fax: (470) 451-0647
Type: Location
4103, Medical Center Drive, Town of Manlius, Onondaga County, New York, 13066, United States
FAYETTEVILLE, NY 130666600
Phone: (315) 637-7800
Fax: (315) 637-7808
Type: Location
254, Fayette Boulevard, Salt Springs, City of Syracuse, Onondaga County, New York, 13224, United States
SYRACUSE, NY 132241214
Phone: (315) 849-6664
Fax: (315) 637-7808
Type: Mailing
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: 2014-10-23
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 |
|---|---|---|---|---|
| I20141023000215 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 19 | 19 | $0 |
Insurance plans in this area (ZIP 30078)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| Physician Assistant | GA | |
| Family Practice | GA | |
| Family Practice | GA | |
| - | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine, Emergency Medicine | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA |
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