JACKSON CLINIC OF CHIROPRACTIC PLLC (NPI# 1457430795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457430795 |
| Entity Type | Organization |
| Organization Name | JACKSON CLINIC OF CHIROPRACTIC PLLC |
| Practice Address |
630 National Hwy Thomasville NC 27360-2601 |
| Practice Telephone | 3364758157 |
| Practice Fax Number | 3364758160 |
| Mailing Telephone | 3364758157 |
| Mailing Fax Number | 3364758160 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | DR. RICK HARRIS JACKSON (DOCTOR OF CHIROPRACTIC) |
| Authorized Official Telephone | 3364758157 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 738 | NC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS PROVIDER # | 08520 | 01 |
| NC | NPI TYPE 1 # | 1437160124 | 01 |
| Street Address |
630 NATIONAL HWY |
| City | THOMASVILLE |
| State | NC |
| Zip Code | 27360-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093253833 | Patrick Jackson | Chiropractor | 630 National Hwy, Thomasville, NC 27360-2601 | 2017-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659994309 | Jazmin Arielle Cromartie | Dentist | 1235 Davidson Community College Rd, Thomasville, NC 27360 | 2020-05-28 |
| 1235609835 | Amekia A Thomas | Counselor | 205 Princeton Xing, Thomasville, NC 27360 | 2018-11-27 |
| 1801340252 | Hospitality Home Care, Inc | Home Health | 508 National Highway, #320, Thomasville, NC 27360 | 2016-08-14 |
| 1629472568 | East Carolina University School of Dental Medicine-davidson | Dentist | 1235 Dccc Road, Thomasville, NC 27360 | 2014-10-21 |
| 1699116723 | Kala Brown Brewer | Optometrist | 1040 Randolph St Ste 14-15, Thomasville, NC 27360 | 2013-07-17 |
| 1740511989 | Cornerstone Health Care LLC | Podiatrist | 211 Old Lexington Road, Thomasville, NC 27360 | 2010-01-28 |
| 1760695472 | Susan Hunter Squires | Counselor | 3954 North Nc Hwy 109, Ledford Middle School School Counselor, Thomasville, NC 27360 | 2007-05-08 |
| 1508961178 | Rebecca Lee Johnson | Social Worker | 17 East Main Street, Thomasville, NC 27360 | 2006-09-14 |
| 1437160124 | Rick H Jackson | Chiropractor | 630 National Highway, Thomasville, NC 27360 | 2006-08-10 |
| 1144253436 | Haresh M Kathard | Family Medicine | 207 Old Lexington Road, Thomasville, NC 27360 | 2006-07-09 |
| Find all providers in zip 27360 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053788612 | Lapointe Management Services | Chiropractor | 1102 Smith Ave Ste B, Thomasville, GA 31792-5700 | 2015-08-29 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| 1720270994 | Jerry Lee Schreiner | Chiropractor | 32620 Highway 43 Ste B, Thomasville, AL 36784-1655 | 2007-08-13 |
| 1487798583 | Todd A. Hanscom, Dc, LLC | Chiropractor | 16820 Us Highway 19 N, Thomasville, GA 31757-7833 | 2007-02-20 |
| 1306988720 | Kristan Wayne Jonasson | Chiropractor | 13 Cloniger Dr, Suite 5, Thomasville, NC 27360-5870 | 2007-02-13 |
| 1346305661 | Heather H. Waldrop | Chiropractor | 202 S Madison St, Thomasville, GA 31792-5479 | 2006-12-27 |
| 1558426866 | Donald G Vinson | Chiropractor | 1971 Ga Highway 122, Thomasville, GA 31757-2500 | 2006-12-27 |
| 1669536066 | James Timothy Willis | Chiropractor | 403 N Crawford St, Thomasville, GA 31792-5128 | 2006-12-20 |
| 1689735359 | William Abner Ball | Chiropractor | 17020 Us Highway 19 N, Thomasville, GA 31757-7852 | 2006-12-13 |
| 1730270869 | Eugene Francis Berbenick | Chiropractor | 327 E Jackson St Ste B, Thomasville, GA 31792-5175 | 2006-09-27 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 27360 |
Please comment or provide details below to improve the information on JACKSON CLINIC OF CHIROPRACTIC PLLC.
| 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.