P Praxis·MD
● Active Type 1 · Individual

Amanda Jackson, ATC

Specialist/Technologist·Marietta, GA· NPI 1770017949 · Enumerated 2017 · 9 years on NPI
Jackson is 1 of 39 specialist/technologist providers in Marietta and 1 of 1405 in Georgia.
NPI age
9 years
Enumerated 2017-04-14
Primary specialty
Specialist/Technologist
Plus 1 subspecialty
Licensed in
GA, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2017-04-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1405 active specialist/technologist providers in Georgia.

NPI age
9 years
≈ at median (9 yr)
State licenses
2 states
Top 95% — 4% of peers are multi-state
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-04Enumerated in NPPES
2017 2026

Where they practice

Practice location
1269 Barclay Cir Se
Marietta, GA 300602903
📞 9193700423
Mailing address
102 Wethersfield Dr
Cary, NC 275134965
📞 9193700423

Specialties

  • Specialist/Technologist Primary
    Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
    GA license #AT003082NC license #LAT-2819 taxonomy 2255A2300X

Practice context

Part of a multi-provider practice. 10 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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