DR. JACKSON K EDWARDS (DMIN., LCSW) – Clinical Social Worker, NPI 1942686175

DR. JACKSON K EDWARDS (DMIN., LCSW) is a healthcare provider. based in Cartersville, Georgia. specializing in Clinical Social Worker. They hold the professional credentials DMIN., LCSW. They hold a License No. MSW006645 (GA). The NPI Number for DR. JACKSON K EDWARDS (DMIN., LCSW) is 1942686175

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACKSON K EDWARDS (DMIN., LCSW)
NPI
1942686175
Phone
(404) 334-5859
Address
650 Henderson Dr Ste 430
Enumeration Date
11 August 2015
Last Update Date
26 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7706641920
Graduation Year
2014 (12 years ago)
PAC ID
4688918071
Group Practice PAC ID
2163561259
Professional Enrollment ID
I20181212001732
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

Provider Addresses for DR. JACKSON K EDWARDS (DMIN., LCSW)

  • 650 Henderson Dr Ste 430

    Cartersville, GA 301203760

    Phone: (404) 334-5859

    Type: Location

  • 1275 Shiloh Rd NW Ste 3030

    Kennesaw, GA 301447186

    Phone: (404) 334-5859

    Type: Location

  • 1275 SHILOH RD NW STE 3030

    KENNESAW, GA 301447186

    Phone: (404) 334-5859

    Type: Mailing

  • 650 HENDERSON DR STE 430

    CARTERSVILLE, GA 301203760

    Phone: (404) 334-5859

    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.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 30120)

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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: 2163561259View full group profile
NameSpecialtyState
Mental Health CounselorOK
Nurse PractitionerGA
Clinical Social WorkerCA
Mental Health CounselorGA
-NC
Clinical Social WorkerGA
Nurse PractitionerGA
P S Y C H I A T R YGA
Clinical Social WorkerGA
Clinical Social WorkerGA

Reviews

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Frequently asked questions

How do payers reference DR. JACKSON K EDWARDS (DMIN., LCSW)?
For DR. JACKSON K EDWARDS (DMIN., LCSW), use NPI 1942686175 as the unique 10-digit identifier.
Is there an active status for DR. JACKSON K EDWARDS (DMIN., LCSW)?
For scheduling context, DR. JACKSON K EDWARDS (DMIN., LCSW) is shown as active in the registry.
What area of care is associated with DR. JACKSON K EDWARDS (DMIN., LCSW)?
DR. JACKSON K EDWARDS (DMIN., LCSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Georgia is DR. JACKSON K EDWARDS (DMIN., LCSW) registered?
Use Cartersville, Georgia as the headline location for DR. JACKSON K EDWARDS (DMIN., LCSW) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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