NPI age
5 years
Enumerated 2021-03-24
● Active
Type 1 · Individual
Chevis M Jackson
Jackson is 1 of 22 physical therapy assistant providers in Cumming and 1 of 1124 in Georgia.
Primary specialty
Physical Therapy Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-03-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1124 active physical therapy assistant providers in Georgia.
NPI age
5 years
↓ 4 yr below median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-03Enumerated in NPPES
2021
2026
Where they practice
Practice location
125 Samaritan Dr
Cumming, GA 300402354
Mailing address
1335 Oakshyre Pl
Lawrenceville, GA 300436435
Specialties
-
Physical Therapy Assistant Primary(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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