Keisha Perry Jackson, PMHNP - Nurse Practitioner in Kings Bay, GA

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Keisha Perry Jackson, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Kings Bay, Georgia. Keisha Perry Jackson is licensed to practice in Mississippi (license number 906900) and her current practice location is 988 Uss James Madison Rd, Building 1028, Kings Bay, Georgia. She can be reached at her office (for appointments etc.) via phone at (912) 573-6578.

NPI number for Keisha Perry Jackson is 1972336923 and her current mailing address is 302 Eagle View Dr, Senatobia, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972336923.

Contact Information

Keisha Perry Jackson, PMHNP
988 Uss James Madison Rd, Building 1028,
Kings Bay, GA 31547
(912) 573-6578
(912) 573-2597

Map and Direction




Provider's Profile

Full NameKeisha Perry Jackson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location988 Uss James Madison Rd, Kings Bay, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1972336923
  • Provider Enumeration Date: 08/24/2024
  • Last Update Date: 01/08/2026

Medical Identifiers

Medical identifiers for Keisha Perry Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972336923NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 906900 (Mississippi)Primary

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. Keisha Perry 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
Keisha Perry Jackson, PMHNP
302 Eagle View Dr,
Senatobia, MS 38668-1206

Ph: (662) 629-2209		Keisha Perry Jackson, PMHNP
988 Uss James Madison Rd, Building 1028,
Kings Bay, GA 31547

Ph: (912) 573-6578

Reviews and Comments


Nurse Practitioner Nurses in Kings Bay, GA

Cary Grinold, FNP,CDE
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 881 Uss James Madison Road, Naval Ambulatory Care Center, Kings Bay, GA 31547
Phone: 912-573-6583    

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.