JACKSON IMAGING (NPI# 1144370776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144370776 |
| Entity Type | Organization |
| Organization Name | JACKSON IMAGING |
| Practice Address |
1045 N Flowood Dr Flowood MS 39232-9533 |
| Practice Telephone | 6019360302 |
| Practice Fax Number | 6019363416 |
| Mailing Telephone | 6019360302 |
| Mailing Fax Number | 6019363416 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LYNNE R AMACKER (MANAGER) |
| Authorized Official Telephone | 6019360302 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1045 N FLOWOOD DR |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 2471C3401X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Computed Tomography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407171663 | Kelley Michele Holliday | Radiologic Technologist | 5437 Gibbons Cv, Southaven, MS 38671-8435 | 2010-03-31 |
| 1770597601 | North Harper Imaging Center, Inc. | Radiologic Technologist | 2421 Proper Street, Corinth, MS 38834 | 2006-07-28 |
| 1083777882 | Desoto Diagnostic Imaging, LLC | Radiologic Technologist | 9085 Sandidge Center Cove, Suite 100, Olive Branch, MS 38654-3575 | 2006-12-19 |
Please comment or provide details below to improve the information on JACKSON IMAGING.
| 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.