Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003057621 Individual Practitioner Female Practitioner

Kierney Elizabeth Jackson , PA

Physician Assistant • Gainesville, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kierney Jackson, PA is a certified Physician Assistant practicing in Gainesville, GA. With approximately 18 years of clinical experience since graduating from University Of Alabama School Of Medicine in 2008, Kierney Jackson delivers high-quality medical care to the local community at 200 S ENOTA DR NE STE 360.

Kierney Jackson maintains professional affiliations with University Surgical Associates Of Athens, Northeast Georgia Physicians Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit, relocation of arm vein with connection to arm artery, open procedure. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 S Enota Dr Ne Ste 360

Gainesville, GA 305013466

Telephone 7702194000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Gainesville, GA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +8.6 yrs vs City Avg
City Avg: 9.4 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
109 Specialists

Practicing in Gainesville, GA (4726 Statewide)

Telehealth Adoption Rate
13.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
69.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (18 Years) 18 Yrs
Gainesville Specialty Average (9.4 Years) 9.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $430.00 $132.89

Medical Specialties & State Licenses

CMS Verified: 2025-09-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 7782

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License SC 1397

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NC 0010-02288

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0949PA (SC)
Medicaid State Provider ID
1003057621 (NC)

Hospital & Practice Group Affiliations

Northeast Georgia Physicians Group Inc

1515 River Pl, Braselton, GA 305175603

Northeast Georgia Physicians Group Inc

743 Spring Nest, Gainesville, GA 305013715

Phone: 7702196000

Northeast Georgia Physicians Group Inc

200 S Enota Dr Ne, Gainesville, GA 305013466

Phone: 7702194000

University Surgical Associates Of Athens

1357 Oconee Connector, Watkinsville, GA 306777314

Phone: 7065498306

Northeast Georgia Physicians Group Inc

108 Prominence Ct, Dawsonville, GA 305346340

Northeast Georgia Physicians Group Inc

597 S Enota Dr Ne, Gainesville, GA 305012545

Phone: 7702197777

Northeast Georgia Physicians Group Inc

Po Box, Oakwood, GA 305660018

Northeast Georgia Physicians Group Inc

58 Big A Rd, Toccoa, GA 305776017

Phone: 7068863148

Secondary Practice Locations

1350 S Kings Dr

Charlotte, NC 282072134

Phone: 7044461255

Practice Associates & Co-Workers

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

17 Associated Practitioners
Angie Rodriguez , PA-C

Physician Assistant

NPI 1043722630

Physician Assistant (Certified)

Dr. Phillip Rideout , MD

Surgery - Vascular Surgery

NPI 1093153116

Doctor of Medicine (M.D.)

Kendyl Burke , PA

Physician Assistant

NPI 1164962718

Physician Assistant

Dr. William Zickler , MD

Surgery - Vascular Surgery

NPI 1245764042

Doctor of Medicine (M.D.)

Omar Abu-Alrub , AGACNP

Nurse Practitioner - Acute Care

NPI 1265162622

Adult-Gerontology Acute Care Nurse Practitioner

Michelle Davis , AGACNP-BC

Nurse Practitioner - Gerontology

NPI 1265852651

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 25, 2025

Registered at 200 S ENOTA DR NE STE 360, GAINESVILLE, GA 305013466 (Tel: 7702194000)

📍
Updated Business Mailing Address September 25, 2025

Registered at PO BOX 742616, ATLANTA, GA 303742616 (Tel: 7702198420)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2025

Physician Assistant (License #1397 in SC)

NPI Profile Active December 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 16, 2016

Registered at 1350 S KINGS DR, CHARLOTTE, NC 282072134 (Tel: 7044461255)

📍
Updated Business Mailing Address December 16, 2016

Registered at PO BOX 601372, CHARLOTTE, NC 282601372 (Tel: 7044461255)

👤
Provider Name / Credentials Updated December 16, 2016

Recorded as KIERNEY JACKSON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2016

Physician Assistant (License #0010-02288 in NC)

🟢
Initial NPI Registration & Enumeration March 11, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kierney Jackson. Be the first to share your experience!

Sign in to leave a review for Kierney Jackson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1003057621
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2009
Last Update: September 25, 2025
Sole Proprietor: No

Mailing Address

Po Box 742616

Atlanta, GA 303742616

Phone: 7702198420

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.