P Praxis·MD
● Active Type 1 · Individual

Leslie Schaad Jackson, FNP-C

Nurse Practitioner·Canton, GA· NPI 1083057152 · Enumerated 2013 · 13 years on NPI
Jackson is 1 of 92 nurse practitioner providers in Canton and 1 of 8826 in Georgia.
NPI age
13 years
Enumerated 2013-04-09
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-03-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
13 years
↑ 6 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-04Enumerated in NPPES
2013 2026

Where they practice

Practice location
10515 Bells Ferry Rd Ste 200
Canton, GA 301144204
📞 6784930752fax 6784932401
Mailing address
460 Northside Cherokee Blvd, Suite 170
Canton, GA 301158016
📞 7707219170fax 7707219171

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN149423 taxonomy 363LF0000X

Identifiers

TypeValueNotes
05 (GA) 003154541A
05 (GA) 003154541B

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Canton in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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