GREGORY JACKSON (NPI# 1346747110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346747110 |
| Entity Type | Individual |
| Full Name | GREGORY JACKSON |
| Credential | MD |
| Practice Address |
1161 21st Ave S Nashville TN 37232-0004 |
| Mailing Address |
1161 21st Ave S Nashville TN 37232-0011 |
| Practice Telephone | 6153220417 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1211 Medical Center Dr, Nashville, TN 372320004 | 6153225000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295194124 | Gregory L Jackson | Social Worker | 342 W Progress Rd, Prentiss, MS 39474-5221 | 2016-02-20 |
| 1811170293 | Gregory Emory Jackson | Pharmacist | 526 W 30th Street, Ny, NY 10001 | 2007-12-09 |
| 1801970769 | Gregory Wayne Jackson | Dentist | 6435 S Pulaski Rd, Chicago, IL 60629-5148 | 2006-10-25 |
| 1184738825 | Gregory Mann Jackson | Specialist | 4220 Mccullough Ave, San Antonio, TX 78212-1910 | 2006-08-19 |
| 1134158009 | Gregory Alan Jackson | Physical Therapist | 5501 Swift Rd, Sarasota, FL 34231-6209 | 2006-07-02 |
| 1982640090 | Gregory R Jackson | Radiology | 800 Mercy Hospital, Alegent Mercy Hospital, Council Bluffs, IA 51503 | 2006-06-20 |
| 1356306203 | Gregory Lee Jackson | Specialist/Technologist | 3821 Everetts Dl, Lexington, KY 40514-1185 | 2006-04-20 |
| 1568092088 | Gregory Christopher Jackson | Psychologist | 4141 Geary Blvd, San Francisco, CA 94118-3109 | 2020-01-23 |
| 1285167304 | Gregory M. Jackson II | Nurse Practitioner | 8600 Wurzbach Rd, Suite 1110, San Antonio, TX 78240-4330 | 2017-04-05 |
| 1942651708 | Gregory Jackson | Physical Therapy Assistant | 9685 Chillicothe Rd, Kirtland, OH 44094-8503 | 2016-06-23 |
| Street Address |
1161 21ST AVE S |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37232-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558369280 | Steven J Eskind | Surgery | 1161 21st Ave S, D-4314 Medical Center North, Nashville, TN 37232-2730 | 2005-07-07 |
| 1659972479 | Keaton Allmaras | Nurse Practitioner | 1161 21st Ave S, D2106 Mcn, Nashville, TN 37232-0011 | 2020-11-06 |
| 1932720786 | Andrew William Kirk | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Nashville, TN 37232-0011 | 2020-05-04 |
| 1497375828 | Michael Longo | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Nashville, TN 37232-0012 | 2020-04-27 |
| 1760002729 | Veronica So Fox | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, B1124 Mcn, Nashville, TN 37232-2521 | 2020-04-20 |
| 1356961445 | Noah Lubin | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Nashville, TN 37232-0011 | 2020-04-20 |
| 1104446244 | Dean Holliday Jr. | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Nashville, TN 37232-2561 | 2020-04-18 |
| 1699395939 | Tessa Marie Delaney | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Nashville, TN 37232-0011 | 2020-04-16 |
| 1457970915 | Nicholas Spenser Abramson | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Nashville, TN 37232-0011 | 2020-04-14 |
| 1245859875 | Evan Thomas | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Nashville, TN 37232-0011 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717578 | Kathleen Elizabeth Quick | Audiologist | 1215 21st Avenue South, Mce, South Tower, 9th Floor, Nashville, TN 37232 | 2020-07-09 |
| 1609497700 | Alissar El Chediak | Student in an Organized Health Care Education/Training Program | 1161 21st Ave South, Mcn S3307, Division of Nephrology, Nashville, TN 37232 | 2020-04-29 |
| 1386209690 | David William John Armstrong | Student in an Organized Health Care Education/Training Program | 1215 21st Ave S 5th Floor, Nashville, TN 37232 | 2019-05-02 |
| 1063075331 | Margaret Elizabeth Galloway | Student in an Organized Health Care Education/Training Program | Vanderbilt Univ. Medical Center 2301 Vuh, Office of Educational Affairs, Dept. of Anesthesiol, Nashville, TN 37232 | 2019-04-22 |
| 1457832420 | Jill Murphree | Dietitian, Registered | 1211 21st Avenue, Medical Arts Building Ste 514, Nashville, TN 37232 | 2018-08-27 |
| 1861980757 | Ryan Chaliff | Student in an Organized Health Care Education/Training Program | Department of Oral & Maxillofacial Surgery, T-4323a Medical Center North 1161 21st Avenue South, Nashville, TN 37232 | 2018-04-25 |
| 1023505385 | Nelly-ange Kontchou | Student in an Organized Health Care Education/Training Program | 1161 21st Avenue South, Medical Center N, Suite Ccc-4312, Nashville, TN 37232 | 2018-04-21 |
| 1396232377 | Katie Lee Ford | Student in an Organized Health Care Education/Training Program | 2200 Children's Way, 8161 Dot, Nashville, TN 37232 | 2018-04-16 |
| 1073015814 | Nicole Sapone Mandrycky | Nurse Practitioner | 1161 21st Ave. S, Mcn D2106, Nashville, TN 37232 | 2018-03-07 |
| 1992220982 | Alanna Salituro | Physical Therapist | 1215 21st Ave. S., Medical Center East, South Tower, Voi, Nashville, NJ 37232 | 2017-08-10 |
| Find all providers in zip 37232 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225655095 | Mackenzie Haas | Student in an Organized Health Care Education/Training Program | 3300 W End Ave Apt 402, Nashville, TN 37203-1021 | 2020-06-28 |
| 1053937375 | Zelexis Chante' Morse | Student in an Organized Health Care Education/Training Program | 1005 Dr. D.b.todd Blvd, School of Dentistry, Nashville, TN 37208-3720 | 2020-06-23 |
| 1679199210 | Michele M Collins | Student in an Organized Health Care Education/Training Program | 1005 Dr D B Todd Jr, 3rd Floor Gpr Clinic, Nashville, TN 37208 | 2020-06-19 |
| 1366066052 | Tiffany E Guess | Student in an Organized Health Care Education/Training Program | Cc-3322 Mcn 1161 21st Avenue South, Nashville, TN 37232-0001 | 2020-05-29 |
| 1922620061 | Sarah Diane Hmaidan | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S Dept B1124, Nashville, TN 37232-0011 | 2020-05-12 |
| 1609497700 | Alissar El Chediak | Student in an Organized Health Care Education/Training Program | 1161 21st Ave South, Mcn S3307, Division of Nephrology, Nashville, TN 37232 | 2020-04-29 |
| 1730700105 | Prince Eleeh | Student in an Organized Health Care Education/Training Program | Department of Psychiatry, Meharry Medical College, 1005 Dr. D. B. Todd, Jr. Blvd., Nashville, TN 37208 | 2020-04-27 |
| 1053931683 | Paul Brosnihan | Student in an Organized Health Care Education/Training Program | 1161 21st Avenue South Medical Center North, D-5203, Nashville, TN 37232-2730 | 2020-04-23 |
| 1245850411 | Morgan Danielle Rigsby | Student in an Organized Health Care Education/Training Program | 1828 11th Ave N Unit A, Nashville, TN 37208-1532 | 2020-04-17 |
| 1043830375 | Amber Hannah | Student in an Organized Health Care Education/Training Program | 180 Wallace Rd Apt K4, Nashville, TN 37211-4667 | 2020-04-16 |
| Find all providers in NASHVILLE | ||||
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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.