NPI age
8 years
Enumerated 2017-10-30
● Active
Type 1 · Individual
Chanda Waller Jackson, NP
Jackson is 1 of 555 nurse practitioner providers in Atlanta and 1 of 3206 in Georgia.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-06-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 3206 active nurse practitioner providers in Georgia.
NPI age
8 years
≈ at median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-10Enumerated in NPPES
2017
2026
Where they practice
Practice location
95 Collier Rd Nw Ste 5015
Atlanta, GA 303091721
Mailing address
550 Peachtree Street, Davis Fisher Building, Office 3245a
Atlanta, GA 30308
Additional practice locations
1 secondary location on file with NPPES.
Location 2
550 Peachtree Street, Davis Fischer Bldg, Office 3245a
Atlanta, GA 30308
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
-
Internal MedicineAn area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical...
Practice context
Part of a multi-provider practice. 34 other active providers share this practice address in NPPES.
Recently enumerated nearby: 11 new nurse practitioner providers have been added in Atlanta in the last 180 days.
See all →
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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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.