SHARON LISA JACKSON – Family Nurse Practitioner, NPI 1720587413

SHARON LISA JACKSON is a healthcare provider. based in Peachtree city, Georgia. specializing in Family Nurse Practitioner. They hold a License No. RN209629 (GA). The NPI Number for SHARON LISA JACKSON is 1720587413

Main info

Female
Name
SHARON LISA JACKSON
NPI
1720587413
Phone
(770) 487-3330
Address
12 EASTBROOK BND
Enumeration Date
7 February 2018
Last Update Date
12 January 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for SHARON LISA JACKSON

  • 12 EASTBROOK BND

    PEACHTREE CITY, GA 302691530

    Phone: (770) 487-3330

    Type: Location

  • 270 AUTUMN CRK

    SENOIA, GA 302761563

    Phone: (770) 647-5155

    Type: Location

  • PO BOX 3102

    PEACHTREE CITY, GA 302697102

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $488.

Total Amount is formed as General ($488) + Research ($0) + Ownership ($0) = $488.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($443).

Total Amount

$488

General + Research + Ownership

Payments

18

Total payment records

General Amount

$488

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-05-24

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
I20220524001288INurse PractitionerGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg6,52566$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml39380$0
20610Aspiration and/or injection of fluid from large joint32877$0
77002Fluoroscopic guidance for needle placement32877$0
73560X-ray of knee, 1-2 views8952$0
View full utilization report →

Insurance plans in this area (ZIP 30269)

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Reviews

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Frequently asked questions

What number should I use to identify SHARON LISA JACKSON for billing?
Administrative and clinical systems typically use NPI 1720587413 for SHARON LISA JACKSON.
Should I treat SHARON LISA JACKSON as an active provider?
Patients and plans typically see SHARON LISA JACKSON as active in the national extract.
What services align with SHARON LISA JACKSON's listing?
SHARON LISA JACKSON's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SHARON LISA JACKSON tied to Peachtree City, Georgia?
If you are local to Peachtree City, Georgia, SHARON LISA JACKSON may be relevant to your search.
Why is information missing for SHARON LISA JACKSON?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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