Kelly Len Jackson, N.P.
NPI 1174761498ActiveIndividual· Registered Nurse, Oncology· Lawrenceville, GA
Registered Nurse, Oncology (N.P.) in Lawrenceville, Georgia, trained at Medical College of Georgia School of Medicine (class of 2008). Enrolled in Medicare as practitioner - nurse practitioner. Abbvie Inc. was the largest of 20 companies reporting payments in 2025, $1,563 in all, mostly food and beverage.
Overview
| NPI | 1174761498 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | N.P. |
| Sole proprietor | No |
| NPI issued | Jan 23, 2009 |
| Last updated in NPPES | Nov 16, 2025 |
| Certified by provider | Nov 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, Oncology Primary | 163WX0200X | RN143526 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (GA) |
|---|
Education and affiliations
| Medical school | Medical College of Georgia School of Medicine |
|---|---|
| Graduation year | 2008 |
| Medicare specialty | Nurse Practitioner |
Medical group
- Northside Surgical Professional Services LLCAtlanta, GA · 364 clinicians
Hospital affiliation
- Northside Hospital GwinnettLawrenceville, GA
Industry payments (Open Payments)
- 2025$1,563 · 35 payments from 20 companies
- 2024$1,216 · 19 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $152.81 | 8 |
| Jazz Pharmaceuticals Inc. | $149.17 | 1 |
| Amgen Inc. | $132.60 | 1 |
| Beone Medicines USA, Inc. | $126.64 | 1 |
| Caris Mpi, Inc. | $124.39 | 2 |
What the 2025 payments were for
- Food and Beverage$1,563 · 35 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Registered Nurse, Oncology providers in Lawrenceville
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