MR. VINCENT PAUL JACKSON (NPI# 1033471669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033471669 |
Entity Type | Individual |
Full Name | MR. VINCENT PAUL JACKSON |
Credential | RT(R) |
Practice Address |
4950 Glaze Dr Atlanta GA 30360-1702 |
Practice Telephone | 7709906821 |
Mailing Telephone | 7709906821 |
Enumeration Date | 2012-06-11 |
Last Update Date | 2012-06-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247100000X | Radiologic Technologist | 394412 | MN | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801202635 | Vincent Maurice Jackson Sr. | Behavioral Analyst | 875 Mass Ave Unit 205, Indianapolis, IN 46204-1652 | 2014-07-01 |
1255332003 | Vincent A Jackson | Nurse Anesthetist, Certified Registered | 3601 Tvc, Nashville, TN 37232-0001 | 2005-08-02 |
1710985783 | Vincent Eugene Jackson | Pharmacist | 100 Hospital Rd, Pharmacy Department, Prince Frederick, MD 20678-4017 | 2005-07-13 |
Street Address |
4950 GLAZE DR |
City | ATLANTA |
State | GA |
Zip Code | 30360-1702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811162068 | Foam Labs Inc | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2745 Bankers Industrial Drive, Atlanta, GA 30360 | 2008-04-29 |
1669666376 | Christine Hunt | Case Manager/Care Coordinator | 2928 Aspen Woods Entry, Doraville, GA 30360 | 2007-09-05 |
1609937986 | Scott Alan Ackerman | Chiropractor | 5025-h Winters Chapel Road, Atlanta, GA 30360 | 2006-12-12 |
1841389723 | Mike Greenberg | Chiropractor | 6035 Peachtree Rd Ste C209, Doraville, GA 30360 | 2006-10-11 |
1336124304 | Emanuel Joseph | Preventive Medicine | 3900 Motors Industrial Way, Mcd Doraville, Doraville, GA 30360 | 2005-12-13 |
1528436367 | Bioconfirm Laboratories LLC | Clinical Medical Laboratory | 6755 Peachtree Industrial Blvd, Suite 150, Doraville, GA 30360 | 2015-09-10 |
1285744722 | Frank Jefferson Cook Jr. | Internal Medicine | 4535 Winters Chapel Rd, Atlanta, GA 30360 | 2006-08-30 |
1346897725 | Mackenzie Warren | Registered Nurse | 2753 Fleur De Lis Way, Atlanta, GA 30360-1203 | 2019-08-21 |
1477973238 | Rebecca Lamont | Behavioral Analyst | 5350 Dunwoody Club Crk, Atlanta, GA 30360-1362 | 2014-04-21 |
1396205316 | David Moshe Yashar | Student in an Organized Health Care Education/Training Program | 5381 Dunwoody Club Crk, Atlanta, GA 30360-1363 | 2019-03-25 |
Find all providers in zip 30360 |
Taxonomy Code | 247100000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750520482 | Alicia Fair-jemison | Radiologic Technologist | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2009-02-20 |
1184888497 | John Douglas Edwards Jr. | Radiologic Technologist | 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 | 2008-07-16 |
1346371531 | Independent Diagnostic Services | Radiologic Technologist | 550 Peachtree Street, Suite 1760, Atlanta, GA 30308 | 2007-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801281100 | On-site Imaging Solutions LLC | Radiologic Technologist | 10755 Brunson Dr, Johns Creek, GA 30097-8465 | 2015-04-02 |
1013318948 | Patti Catlett | Radiologic Technologist | 3060 Cypress Cv, Ball Ground, GA 30107-2675 | 2014-09-10 |
1184870115 | David Anthony Hardwick | Radiologic Technologist | 3198 Trinity Mill Cir, Dacula, GA 30019-1036 | 2008-08-11 |
1154584555 | Kathy C Isley | Radiologic Technologist | Lockheed Martin Aeronautics Co, 86 South Cobb Drive, Dept Re2m, Zone 0454, Marietta, GA 30063-0001 | 2008-07-07 |
1639298276 | Brian L Jones | Radiologic Technologist | 203 Pineywood Rd, Griffin, GA 30224-4964 | 2007-03-28 |
1346255080 | Open Mri of Milledgeville LLC | Radiologic Technologist | 1850 North Columbia Street, Suite 3, Milledgeville, GA 31061-7113 | 2006-07-30 |
1134151079 | Tina Marie Sapp | Radiologic Technologist | 1401 Tift Ave N, Tifton, GA 31794-3585 | 2006-07-07 |
1265421614 | Greene David Mock | Radiologic Technologist | 34 Diana Dr, Savannah, GA 31406-7510 | 2005-10-18 |
1750908927 | Cassidy Davis | Radiologic Technologist | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-07-02 |
1245852805 | Cristina Royce | Radiologic Technologist | 35 Hospital Rd, Blairsville, GA 30512-3139 | 2020-05-17 |
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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.