DR. JACQUELYN C. JACKSON (NPI# 1023278843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023278843 |
| Entity Type | Individual |
| Full Name | DR. JACQUELYN C. JACKSON |
| Credential | AU.D. |
| Practice Address |
1690 Powder Springs Rd Sw Suite 208 Marietta GA 30064-4844 |
| Practice Telephone | 7704251095 |
| Practice Fax Number | 7704254330 |
| Mailing Telephone | 7704251095 |
| Mailing Fax Number | 7704254330 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366627002 | Jacquelyn Marie Jackson | Home Health Aide | 1609 Hiway 41, Mt Pleasant, SC 29464 | 2007-12-31 |
| 1114451721 | Jacquelyn Jackson | Counselor | 1701 White St, Mccomb, MS 39648-2711 | 2017-04-20 |
| 1316267057 | Jacquelyn Chrisana Jackson | Family Medicine | 210 Franklin Rd, Brentwood, TN 37027 | 2010-06-04 |
| Street Address |
1690 POWDER SPRINGS RD SW SUITE 208 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-4844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790782498 | Family Hearing and Speech Center of West Cobb, Inc. | Audiologist | 1690 Powder Springs Rd Sw, Suite 208, Marietta, GA 30064-4844 | 2005-07-07 |
| 1578194106 | George Clark Weeks Jr. | Pharmacist | 1690 Powder Springs Rd Sw, Marietta, GA 30064-4844 | 2020-02-02 |
| 1093345852 | Jana Willingham | Pharmacist | 1690 Powder Springs Rd Sw, Marietta, GA 30064-4844 | 2020-01-21 |
| 1053475855 | Janelle Lynette Davison | Optometrist | 1690 Powder Springs Rd Sw, 101, Marietta, GA 30064-4844 | 2006-12-19 |
| 1093734337 | James Allen Henson Jr. | Dentist | 1690 Powder Springs Rd Sw, Suite 210, Marietta, GA 30064-4844 | 2006-07-18 |
| 1922023704 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1690 Powder Springs Rd Sw, Marietta, GA 30064-4844 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164968152 | Peachtree Hearing LLC | Audiologist | 4939 Lower Roswell Rd Ste 107a, Marietta, GA 30068-4382 | 2017-01-13 |
| 1164863346 | Karen Burris Whitfield | Audiologist | 80 Lacy Street Nw, Marietta, GA 30060 | 2013-07-16 |
| 1003054875 | Camberly F Coe | Audiologist | 1475 Oak Springs Dr, Marietta, GA 30066-3962 | 2009-02-01 |
| 1639321151 | Jennifer Joyce Reddaway | Audiologist | 2550 Windy Hill Rd Se Ste 307, Marietta, GA 30067-8655 | 2008-10-15 |
| 1710009139 | Kathy J. Colapinto | Audiologist | 145 N Marietta Pkwy, Ste E, Marietta, GA 30060 | 2007-04-05 |
| 1356425912 | Laurie Nelson, Inc. | Audiologist | 990 Whitlock Ave Nw, Suite D, Marietta, GA 30064-1940 | 2006-10-24 |
| 1811093784 | Laurie Ellen Nelson | Audiologist | 707 Whitlock Ave Sw Ste A36, Marietta, GA 30064-4654 | 2006-09-16 |
| 1205837705 | Jiovanne Neal Hughart | Audiologist | 4800 Olde Towne Pkwy, Ste 360, Marietta, GA 30068-4357 | 2005-08-09 |
| 1790782498 | Family Hearing and Speech Center of West Cobb, Inc. | Audiologist | 1690 Powder Springs Rd Sw, Suite 208, Marietta, GA 30064-4844 | 2005-07-07 |
| 1780156133 | Sara Elizabeth Simmons | Audiologist | 699 Church St Ne Ste 340, Marietta, GA 30060-1131 | 2018-12-26 |
| Find all providers in MARIETTA | ||||
Please comment or provide details below to improve the information on DR. JACQUELYN C. JACKSON.
| 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.