P Praxis·MD
● Active Type 1 · Individual

Katherine Justina Jackson, MSN, WHNP-BC

Nurse Practitioner·Johns Creek, GA· NPI 1649035791 · Enumerated 2024 · 2 years on NPI
Jackson is 1 of 4 nurse practitioner providers in Johns Creek and 1 of 393 in Georgia.
NPI age
2 years
Enumerated 2024-02-19
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-01-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 393 active nurse practitioner providers in Georgia.

NPI age
2 years
↓ 9 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-02Enumerated in NPPES
2024 2026

Where they practice

Practice location
10692 Medlock Bridge Rd Ste 100a
Johns Creek, GA 300978497
📞 4044462496fax 4044462497
Mailing address
3450 Blair Cir Ne Unit 1408
Brookhaven, GA 303192243
📞 2055667869

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #GAA-NP004386 taxonomy 363LW0102X

Practice context

Part of a multi-provider practice. 17 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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