THERESA JACKSON (NPI# 1154506681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154506681 |
| Entity Type | Individual |
| Full Name | THERESA JACKSON |
| Practice Address |
2100 Comer Ave Columbus GA 31904-8725 |
| Mailing Address |
191 Waverly Hall Rd Box Springs GA 31801-7527 |
| Practice Telephone | 7065965764 |
| Practice Fax Number | 7065965770 |
| Mailing Telephone | 7062693484 |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144767906 | Theresa A Jackson | Community Health Worker | 3112 33rd St Ne, Canton, OH 44705-3869 | 2017-01-31 |
| 1104207083 | Theresa Jackson | Chore Provider | 77 E Great Lakes St Apt 303, River Rouge, MI 48218-1584 | 2015-06-16 |
| 1164818993 | Theresa Jackson | Emergency Medicine | 4629 E 13th Pl, Tulsa, OK 74112-6103 | 2015-04-08 |
| 1063832509 | Theresa Jackson | Counselor | 18 J Braden Thompson Rd, Forestdale, MA 02644-1555 | 2014-04-23 |
| 1083947592 | Theresa Michelle Jackson | Registered Nurse | 337 E 197th St, Euclid, OH 44119-1121 | 2009-09-15 |
| 1841486289 | Theresa Y Jackson | Massage Therapist | 1803 Boulevard, Jacksonville, FL 32206-4342 | 2007-09-19 |
| 1790332443 | Theresa Lynn Jackson | Dietitian, Registered | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2019-08-19 |
| 1093280422 | Theresa Jackson | Massage Therapist | 3647 Cedar Ave S, Minneapolis, MN 55407-2919 | 2018-10-12 |
| 1275021834 | Theresa E. Jackson | Social Worker | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2018-04-28 |
| 1568709335 | Theresa F Jackson | Pharmacist | 3550 Centerville Hwy, Snellville, GA 30039-4133 | 2013-01-13 |
| Street Address |
2100 COMER AVE |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-8725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164420220 | Demetria Barnes Hendrix | Pharmacist | 2100 Comer Ave, Ambulatory Care Pharmacy, Columbus, GA 31904-8725 | 2005-07-12 |
| 1801497193 | Jacqueline Jordan | Clinic/Center | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-11-04 |
| 1033725288 | Cassandra Faye Harris | Case Management | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-09-22 |
| 1245846831 | Morgan Ashley Harris | Counselor | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-09-18 |
| 1164035382 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-08-27 |
| 1386256097 | Diana Lynn Ezell | Counselor | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-08-24 |
| 1245840750 | Samantha Meghan Bruffy | Registered Nurse | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-08-10 |
| 1083222871 | Paulette Davis | Licensed Practical Nurse | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-07-17 |
| 1245859859 | Ryan James Aker | Case Manager/Care Coordinator | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-04-14 |
| 1477188035 | Samantha Marie Dent | Case Manager/Care Coordinator | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010197 | Afia Chrappah | Social Worker | 4281 Secludedwood Ct, Columbus, OH 43230-4153 | 2020-10-12 |
| 1669079927 | Rachel Beers | Social Worker | 1530 Hilton Ave, Columbus, GA 31906-2063 | 2020-10-08 |
| 1760092647 | Rebecca St Clair | Social Worker | 2521 Fairwood Ave # 100, Columbus, OH 43207-2712 | 2020-08-05 |
| 1285257592 | Karla Michelle Lebron-rivera | Social Worker | 338 Modesta Rd, Columbus, OH 43213-4434 | 2020-05-20 |
| 1083236566 | Christopher Neal Palcsak | Social Worker | 7575 Huntington Park Dr Ste 200, Columbus, OH 43235-5618 | 2020-05-07 |
| 1902443807 | Nicole Marie Thompson | Social Worker | Southeast, Inc., 16 W Long St, Columbus, OH 43215 | 2019-12-10 |
| 1831732429 | Kelli Skaggs | Social Worker | 4889 Sinclair Rd Ste 214, Columbus, OH 43229-5434 | 2019-10-25 |
| 1386293538 | Anya M. Moore | Social Worker | 3013 Easthaven Dr S, Columbus, OH 43232-3823 | 2019-09-10 |
| 1356902522 | Ashley Nicole Schorkhuber | Social Worker | 1204 W Broad St, Columbus, OH 43222-1319 | 2019-06-27 |
| 1104482041 | Michael Darrell Watson | Social Worker | 7401 Blackmon Rd Apt 1301, Columbus, GA 31909-4499 | 2019-05-16 |
| Find all providers in COLUMBUS | ||||
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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.