DR. EMILY BROCKETT JACKSON (NPI# 1003126962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003126962 |
Entity Type | Individual |
Full Name | DR. EMILY BROCKETT JACKSON |
Credential | PHD |
Practice Address |
1670 Clairmont Road Atlanta Va Medical Center Decatur GA 30033 |
Mailing Address |
15 Cardinal Ct Stockbridge GA 30281-1785 |
Practice Telephone | 4044290419 |
Mailing Telephone | 4044290419 |
Enumeration Date | 2010-10-13 |
Last Update Date | 2010-10-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSY003380 | GA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720509268 | Emily Jackson | Nurse Practitioner | 2623 Centennial Blvd Ste 103, Tallahassee, FL 32308-0601 | 2017-07-06 |
1568618825 | Emily Jackson | Counselor | 26229 Us Hughway 119 North, Toler, KY 41514 | 2008-08-18 |
1184893398 | Emily Bennett Jackson | Social Worker | 132 W 112th St Apt 3d, New York, NY 10026-3753 | 2008-02-22 |
1417040288 | Emily Jackson | Physical Therapist | 5400 S Pennsylvania Ave, Lansing, MI 48911-4049 | 2006-10-02 |
1831790328 | Emily Estella Jackson | Counselor | 5555 Airport Hwy Ste 132, Toledo, OH 43615-7380 | 2020-11-03 |
1164040952 | Emily Jackson | Specialist/Technologist | 11200 Sw 8th St, Miami, FL 33199-2516 | 2020-07-08 |
1346883493 | Emily Lynn Jackson | Physician Assistant | 30736 Hoover Rd, Warren, MI 48093-2555 | 2019-10-22 |
1265073969 | Emily Gigena Jackson | Counselor | 1200 N Howard St, Alexandria, VA 22304-1634 | 2019-10-03 |
1437709888 | Emily Jackson | Counselor | 101 Buford Rd Ste 110, North Chesterfield, VA 23235-5292 | 2019-09-18 |
1316419955 | Emily Carol Jackson | Counselor | 501 Bishop Ln N, Mobile, AL 36608-5821 | 2018-12-20 |
Street Address |
1670 CLAIRMONT ROAD ATLANTA VA MEDICAL CENTER |
City | DECATUR |
State | GA |
Zip Code | 30033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265430458 | James F. Lawrence | Nurse Practitioner | 1670 Clairmont Road, Atlanta Vamc, Decatur, GA 30033 | 2005-07-12 |
1063027142 | Emily Kate Feibelman | Audiologist | 1670 Clairmont Road, Audiology Clinic (126), Decatur, GA 30033 | 2020-09-15 |
1831622158 | Manju Cibi | Nurse Practitioner | 1670 Clairmont Road, Atlanta Vamc, Decatur, GA 30033 | 2017-04-04 |
1255752952 | Vicki Genelle Fisher | Social Worker | 1670 Clairmont Road, Decatur, GA 30033 | 2013-12-23 |
1629326863 | Margaret Hoover Mcbride | Registered Nurse | 1670 Clairmont Road, Atlanta Va Medical Center, Decatur, GA 30033 | 2012-08-20 |
1811219660 | Sherrill A Murad | Podiatrist | 1670 Clairmont Road, Decatur, GA 30033 | 2010-02-22 |
1033357280 | Elizabeth Anderson Farmer | Speech-Language Pathologist | 1670 Clairmont Road, Atlanta Va Medical Center, Decatur, GA 30033-9819 | 2009-01-27 |
1043457039 | Nakkia May | Social Worker | 1670 Clairmont Road, Decatur, GA 30033-4004 | 2009-01-13 |
1194903856 | Amy Miller | Hospitalist | 1670 Clairmont Road, Decatur, GA 30033 | 2008-02-05 |
1669656039 | Julie Diane Elizabeth Jackson-murphy | Hospitalist | 1670 Clairmont Road, Decatur, GA 30033 | 2007-12-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
Find all providers in zip 30033 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598098949 | Lynyetta G Willis | Psychologist | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2009-09-16 |
1619177409 | Shirley Jean Jordan | Psychologist | 506 N Miller St, Decatur, TX 76234-1114 | 2007-07-20 |
1245285295 | Mark Jacob | Psychologist | 801 Church Street, Suite 1, Decatur, AL 35602 | 2006-05-24 |
1952393308 | Michal Ann O'leary | Psychologist | 1945 Mason Mill Rd, Suite 100, Decatur, GA 30033-4006 | 2005-08-20 |
1548269418 | Cynthia Kay Valley | Psychologist | 1549 Clairmont Rd, Suite 108, Decatur, GA 30033-4639 | 2005-07-21 |
1841807591 | Mallorie Gayle Carroll | Psychologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-09-28 |
1164036570 | Rachel Heatherly | Psychologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-09-02 |
1033462486 | Karuna Counseling, Inc. | Psychologist | 1945 Mason Mill Rd Ste 100, Decatur, GA 30033-4075 | 2012-10-23 |
1093087876 | Kathryn Ganske | Psychologist | 1549 Clairmont Rd, Suite 108, Decatur, GA 30033-4639 | 2012-02-08 |
1073807608 | Alaycia Deneen Reid | Psychologist | 315 W Ponce De Leon Ave, Decatur Court, Suite 552, Decatur, GA 30030-2400 | 2011-05-31 |
Find all providers in DECATUR |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.