Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760317432 Individual Practitioner Female Practitioner

Dr. Amanda Bryans Jackson , DMD

Dentist - General Practice • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Amanda Jackson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Augusta, GA. Practice services are available at 1430 JOHN WESLEY GILBERT DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1430 John Wesley Gilbert Drive

Augusta, GA 309120001

Telephone 7067212371
Fax 7067216778
Associated Practice Facility / Clinic
🏢 Au Dental Associates Facility NPI 1457541781

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
124 Specialists

Practicing in Augusta, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN124191

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Geoffrey Thompson , DDS, MS

Dentist - Prosthodontics

NPI 1003807603

Doctor of Dental Surgery, Master of Science

Dr. Steven Nelson , DMD

Dentist - Prosthodontics

NPI 1003861352

Doctor of Dental Medicine

Dr. John Hawkins , CRNA, PhD

Nurse Anesthetist, Certified Registered

NPI 1003880196

Certified Registered Nurse Anesthetist, Doctor of Philosophy (Ph.D.)

Dr. Theodore Ravenel , DMD

Dentist - Endodontics

NPI 1013070879

Doctor of Dental Medicine

Dr. Edna Pashley , DMD

Dentist - Pediatric Dentistry

NPI 1033165584

Doctor of Dental Medicine

Dr. Ryan Mooneyham , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1033705066

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 06, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2026

Registered at 1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 309120001 (Tel: 7067212371)

📍
Updated Business Mailing Address July 06, 2026

Registered at 1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 309120001 (Tel: 7067212371)

👤
Provider Name / Credentials Updated July 06, 2026

Recorded as AMANDA JACKSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2026

Dentist (License #DN124191 in GA)

🟢
Initial NPI Registration & Enumeration June 15, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760317432
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2026
Last Update: July 06, 2026
Sole Proprietor: No

Mailing Address

1430 John Wesley Gilbert Drive

Augusta, GA 309120001

Phone: 7067212371

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.