Kibibi A Jackson, FNP-BC - Family Medicine in Riverdale, GA

Kibibi A Jackson, FNP-BC is a Family Medicine physician based in Riverdale, Georgia. Kibibi A Jackson is licensed to practice in Georgia (license number RN265070) and her current practice location is 483 Upper Riverdale Rd Sw, Riverdale, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 996-9400.

NPI number for Kibibi A Jackson is 1831790526 and her current mailing address is 483 Upper Riverdale Rd Sw, Riverdale, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831790526.

Contact Information

Kibibi A Jackson, FNP-BC
483 Upper Riverdale Rd Sw,
Riverdale, GA 30274-2584
(770) 996-9400
Not Available

Map and Direction




Physician's Profile

Full NameKibibi A Jackson
GenderFemale
SpecialityFamily Medicine
Location483 Upper Riverdale Rd Sw, Riverdale, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1831790526
  • Provider Enumeration Date: 11/08/2020
  • Last Update Date: 09/27/2025

Medical Identifiers

Medical identifiers for Kibibi A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831790526NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine RN265070 (Georgia)Primary
163WE0003XRegistered Nurse - Emergency RN265070 (Georgia)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kibibi A Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kibibi A Jackson, FNP-BC
483 Upper Riverdale Rd Sw,
Riverdale, GA 30274-2584

Ph: (770) 996-9400
Kibibi A Jackson, FNP-BC
483 Upper Riverdale Rd Sw,
Riverdale, GA 30274-2584

Ph: (770) 996-9400

Reviews and Comments


Family Medicine Doctors in Riverdale, GA

Dr. Andre St. Clair Stuart, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 34 Upper Riverdale Rd Se, Suite 100 A, Riverdale, GA 30274
Phone: 770-907-7222    Fax: 770-991-3154
Daniel E Nibo, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6223 Church St, Riverdale, GA 30274
Phone: 770-997-0047    Fax: 770-997-0390
Dr. Walter H Smith, D.O
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6330 Church St, Riverdale, GA 30274
Phone: 770-994-7400    
James E Gleason Jr., MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 33 Upper Riverdale Rd Sw Ste 118, Riverdale, GA 30274
Phone: 770-994-6969    Fax: 888-651-5324
Dr. Yvonne Mukosolu Maduka, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 7028 Highway 85, Riverdale, GA 30274
Phone: 470-444-3136    Fax: 470-298-7730
Ms. Sherwanna Melissa Wheeler, CRNP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 7028 Highway 85, Riverdale, GA 30274
Phone: 470-444-3136    Fax: 470-298-7730

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.