Search › Georgia › 163WX0200X
Kelly Jackson, N.P
NPI 1174761498 · on the registry since 2009
Practice
- Address
- 771 Old Norcross Rd Ste 165
Lawrenceville, GA 30046 - Phone
- (678) 442-3121
- Organisation at this address
- Orthoatlanta
Orthoatlanta, Llc
Rodriguez Md, Llc
T L Hughes Md, Llc
William Bostock , DoInferred from a shared address, not stated in the registry. - Clinicians at this address
- 90
Registry record
- Primary taxonomy
- 163WX0200X
163WX0200X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia