P Praxis·MD
● Active Type 1 · Individual

Brittany Lynne Jackson, APRN, ACNPC-AG

Nurse Practitioner·Riverdale, GA· NPI 1114574258 · Enumerated 2019 · 6 years on NPI
Jackson is 1 of 5 nurse practitioner providers in Riverdale and 1 of 950 in Georgia.
NPI age
6 years
Enumerated 2019-08-22
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 950 active nurse practitioner providers in Georgia.

NPI age
6 years
≈ at median (6 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
36% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-08Enumerated in NPPES
2019 2026

Where they practice

Practice location
6507 Professional Pl
Riverdale, GA 302744941
📞 4047787777
Mailing address
1501 Clairmont Rd Apt 1623
Decatur, GA 300334604
📞 7707697147

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN265101 taxonomy 363LA2100X

Practice context

Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.

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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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