CHANDA WALLER JACKSON (NPI# 1245742329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245742329 |
Entity Type | Individual |
Full Name | CHANDA WALLER JACKSON |
Credential | ACNP |
Practice Address |
550 Peachtree Street Davis Fischer Bldg, Office 3245a Atlanta GA 30308 |
Mailing Address |
550 Peachtree Street Davis Fisher Building, Office 3245a Atlanta GA 30308 |
Practice Telephone | 4046867858 |
Mailing Telephone | 4046867858 |
Enumeration Date | 2017-10-30 |
Last Update Date | 2017-10-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | RN213894 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063440436 | Chanda D'riece Jackson | Physical Therapist | 100 S 2nd Street, Thomas, OK 73669 | 2006-06-28 |
Street Address |
550 PEACHTREE STREET DAVIS FISCHER BLDG, OFFICE 3245A |
City | ATLANTA |
State | GA |
Zip Code | 30308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467444570 | La'genia Mitchell-smith | Podiatrist | 550 Peachtree Street, Suite 1960, Atlanta, GA 30308-2225 | 2005-08-16 |
1083179493 | Thomas Kenneth Martin II | Physician Assistant | 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2019-02-10 |
1376046409 | Brian Joseph Sestrich | Nurse Practitioner | 550 Peachtree Street, Atlanta, GA 30308 | 2018-03-15 |
1467979948 | Gail Lawrence Snell | Nurse Practitioner | 550 Peachtree Street, Mot, 4th Floor, Center for Heart Failure Therapy, Atlanta, GA 30308 | 2017-08-25 |
1366980617 | Alexandre D Miller | Nurse Practitioner | 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2017-02-07 |
1922471630 | Kai-tien Ho | Nurse Practitioner | 550 Peachtree Street, 3245a Emory Center for Critical Care, Atlanta, GA 30308 | 2015-11-03 |
1679822787 | Kori Williams | Physical Therapist | 550 Peachtree Street, Atlanta, GA 30308 | 2012-09-05 |
1366732638 | Patricia Rose Hwang | Hospitalist | 550 Peachtree Street, Atlanta, GA 30308 | 2011-04-07 |
1952632580 | Kimberly Dawn Orleck | Physician Assistant | 550 Peachtree Street, Suite 1600, Atlanta, GA 30308-2208 | 2010-01-21 |
1073747465 | Evan D Schoenberg | Ophthalmology | 550 Peachtree Street, Suite 1500, Atlanta, GA 30308-2248 | 2009-05-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
1104463819 | Gary Sydney Koech IIi | Registered Nurse | Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 | 2019-12-02 |
1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
1396211025 | Vita Judkins | Pharmacist | 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 | 2018-10-20 |
1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
Find all providers in zip 30308 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457963456 | Catelyn Conway Wheeler | Nurse Practitioner | 970 Gilbert St Se, Atlanta, GA 30316-2509 | 2020-08-20 |
1033737754 | Meagan Ashley Short | Nurse Practitioner | 993 Johnson Fy Rd Ne Ste F210, Atlanta, GA 30342-1688 | 2020-07-09 |
1538796537 | Johnanika Lanya House | Nurse Practitioner | 77 Collier Rd Nw Ste 2000, Atlanta, GA 30309-1754 | 2020-03-27 |
1952938466 | Kelsey Claire Jones | Nurse Practitioner | 1325 Benteen Park Dr Se, Atlanta, GA 30315-4441 | 2020-03-25 |
1457986598 | Joi Aimee Bell-blanding | Nurse Practitioner | 318 Parducci Trl, Atlanta, GA 30349-8125 | 2020-03-09 |
1932734530 | Wellness Rx Medical Services LLC | Nurse Practitioner | 1379 Plaza Ave Sw, Atlanta, GA 30310-3742 | 2020-03-04 |
1366089757 | Katherine Elizabeth Mitzel | Nurse Practitioner | 95 Collier Rd Nw Ste 4055, Atlanta, GA 30309-1749 | 2019-12-04 |
1114564754 | Mary Twum Arthur | Nurse Practitioner | 7 Executive Park Dr Ne Apt 2303, Atlanta, GA 30329-2270 | 2019-12-02 |
1770127060 | Trinetta Gipson | Nurse Practitioner | 2300 Global Forum Blvd Apt 838, Atlanta, GA 30340-4486 | 2019-10-30 |
1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
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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.