Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kellontreia Laporche Jackson, A-GNP-C

Gerontology Nurse Practitioner in Hawkinsville, GA · enumerated 2022 · practices at Access Medical Clinic Georgia LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619685534

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Registry record

Entity type Individual (Type 1)

Name Kellontreia Laporche Jackson

Credential A-GNP-C

Sex Female

Practice address 37 341 Byp, Hawkinsville, GA, 31036

Phone (478) 845-4842

Enumeration date Nov 9, 2022

Last updated in NPPES May 13, 2026

Taxonomy & licenses

363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 4704420181 (MI) Secondary

363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License NP259383 (GA) Primary

363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 1176633 (TX) Secondary

363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License H181146 (IA) Secondary

363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License C-APN.0102805-C-NP (CO) Secondary

363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 36993 (TN) Secondary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kellontreia Jackson?

The National Provider Identifier (NPI) for Kellontreia Jackson is 1619685534, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kellontreia Jackson practice?

The practice location on file with NPPES is in Hawkinsville, GA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Access Medical Clinic Georgia LLC Rural Health Clinic/Center · Hawkinsville, GA NPI 1174104657 Kaitlyn Mason Family Nurse Practitioner · Hawkinsville, GA NPI 1609519586

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-13.