DR. ANDREW BOYD JACKSON


Address: 1459 Laney Walker Blvd, Augusta, GA 30912
Phone: 7067212613

DR. ANDREW BOYD JACKSON (NPI# 1497253835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497253835
Entity Type Individual
Full Name DR. ANDREW BOYD JACKSON
Credential MD
Practice Address 1459 Laney Walker Blvd
Augusta
GA 30912
Mailing Address 1465 Laney Walker Blvd
Augusta
GA 30912-0002
Practice Telephone 7067212613
Practice Fax Number 7067219081
Mailing Telephone 7067212613
Mailing Fax Number 2762096690
Enumeration Date 2018-01-31
Last Update Date 2019-07-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 10769 GA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1459 Laney Walker Blvd, Augusta, GA 30912 7067212613 7067219081

Other Providers ANDREW JACKSON

NPI Name Taxonomy Address Enumeration
1093279572 Andrew Jay Jackson Technician 125 County Road 4209, Jacksonville, TX 75766-5574 2019-01-29
1568591287 Andrew Lee Jackson Dentist 600 Mccranie Avenue, Willacoochie, GA 31650 2007-03-06
1194811240 Andrew Spencer Jackson Dentist 1832 Capitol St, Vallejo, CA 94590 2006-10-05
1245291954 Andrew Dan Jackson Chiropractor 1025 W Carolina Ave, Hartsville, SC 29550-4427 2006-03-31
1447850227 Andrew Jackson Pharmacist 3520 Hudson Dr, Stow, OH 44224-2907 2020-10-29
1528559358 Andrew Jackson Case Manager/Care Coordinator 550 W Chalmers Ave, Youngstown, OH 44511-1576 2018-05-29
1134618820 Andrew Jackson IIi Chiropractor 460 S 14th St, Midlothian, TX 76065-3514 2018-05-08
1285172841 Andrew Jackson General Acute Care Hospital 284 N Hospital Dr, Price, UT 84501-4233 2017-02-03
1508309055 Andrew Jackson IIi Case Manager/Care Coordinator 1401 Hudson Ln, Suite 202, Monroe, LA 71201-6068 2016-11-30
1285177253 Andrew Jackson Naturopath 12025 Lake City Way Ne Ste B, Seattle, WA 98125-5331 2016-11-23

Office Location

Street Address 1459 LANEY WALKER BLVD
City AUGUSTA
State GA
Zip Code 30912

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639158900 Walter Jack Morris Dentist 1459 Laney Walker Blvd, Ad1501, Augusta, GA 30912-0002 2006-01-13
1932725694 Liniya Tauhidul Family Medicine 1459 Laney Walker Blvd, Augusta, GA 30912-0002 2020-06-18
1740805852 Nafiz Kalam Sheikh Psychiatry & Neurology 1459 Laney Walker Blvd, Augusta, GA 30912-0001 2020-06-15
1265057426 Mallika Patel Internal Medicine 1459 Laney Walker Blvd, Augusta, GA 30912-0002 2020-06-13
1578188728 Dhruti Prashant Diwan Anesthesiology 1459 Laney Walker Blvd, Augusta, GA 30912-3529 2020-06-13
1043835317 Jesse William Wayson Obstetrics & Gynecology 1459 Laney Walker Blvd, Augusta, GA 30912-0002 2020-06-12
1861017139 Mac Bohanan Psychiatry & Neurology 1459 Laney Walker Blvd, Augusta, GA 30912-0002 2020-06-12
1609491950 Taylor Payne Internal Medicine 1459 Laney Walker Blvd, Augusta, GA 30912-0002 2020-06-12
1184249443 Yasasvi Tadavarthi Internal Medicine 1459 Laney Walker Blvd, Ae 3042, Augusta, GA 30912-0004 2020-06-12
1376168807 Erica Demaagd Pediatrics 1459 Laney Walker Blvd, Ae 3042, Augusta, GA 30912 2020-06-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548885940 Hannah Gullickson Folsom Family Medicine 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 2020-06-11
1487278909 Robert Kennedy Internal Medicine Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 2020-06-01
1952968737 Kayla M. Lasota Pediatrics 11230 115th St Ae3042, Augusta, GA 30912 2019-05-28
1003379280 Kayla Cox Internal Medicine 1120 15th St Bi5070, Augusta, GA 30912 2019-04-13
1619435740 Justin Ray Mackert Student in an Organized Health Care Education/Training Program Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 2019-03-07
1417444167 Victor Celis Dentist John Wesley Gilbert Dr, Augusta, GA 30912 2018-04-18
1487157921 Julie Ann Matsen Student in an Organized Health Care Education/Training Program 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 2018-03-12
1497287031 Luke Yuung-jier Chang Ophthalmology 1120 15th St # Ba2720, Augusta, GA 30912 2017-04-02
1821537622 Lashawn Kay Boone Nurse Practitioner 1445 Harper St, Augusta, GA 30912 2017-02-14
1134675564 Arnab Saha Internal Medicine 1120 15 Th St., Augusta, GA 30912 2016-08-26
Find all providers in zip 30912

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215310768 John Bates Mccutcheon Emergency Medicine 3138 Westminster Dr, Augusta, GA 30909-3242 2015-07-01
1891114492 Darrel Douglas Emergency Medicine 1120 15th St # Af-1020, Augusta, GA 30912-0004 2014-04-10
1740624774 Desiree Brooks Emergency Medicine 1507 Troupe St, Apt #5, Augusta, GA 30904-5099 2013-04-21
1316258932 Charles Robert Sheldon Emergency Medicine 2704 Smith Creek Rd, Augusta, GA 30909-2322 2010-06-29
1679899215 Beau Philip Gedrick Emergency Medicine 1102 15th St, Augusta, GA 30912-0004 2010-04-07
1245492958 Abhijit Singh Emergency Medicine 1120 15th Street Augusta University Medical Center, Augusta, GA 30912-2504 2008-06-25
1487870168 Suzanne Joy Atteberry Emergency Medicine 1120 15th St Rm Af-2056, Augusta, GA 30912-0004 2007-04-18
1427086909 Tricia-may Villanueva Harris Emergency Medicine 3651 Wheeler Road, Augusta, GA 30909 2006-06-30
1093758724 George Clark Pursley Emergency Medicine 1219 West Wheeler Pkwy, Suite A, Augusta, GA 30909-1867 2006-06-13
1760434757 Wakili Salihu Yarima Emergency Medicine 1120 15th Street Af 2036, Emergency Medicine Department, Medical College of Georgia, Augusta, GA 30912 2006-05-17
Find all providers in AUGUSTA

Competitor

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City AUGUSTA
Zip Code 30912

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Dataset Information

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.

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