ANDREA M. JACKSON (NPI# 1528179215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528179215 |
| Entity Type | Individual |
| Full Name | ANDREA M. JACKSON |
| Credential | M.D. |
| Practice Address |
4376 Germanna Hwy Locust Grove VA 22508-2008 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 5409727798 |
| Practice Fax Number | 5409723536 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 0101039547 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1528179215 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4376 Germanna Hwy, Locust Grove, VA 225082008 | 5409727798 | 5409723536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568948479 | Andrea M Jackson | Behavioral Analyst | 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 | 2018-07-13 |
| 1912411133 | Andrea Jackson | Licensed Practical Nurse | 52 Hillside Ave, Freeport, NY 11520-1726 | 2017-11-27 |
| 1437670114 | Andrea Jackson | Nurse Practitioner | 406 W S Jordan Pkwy, South Jordan, UT 84095-3965 | 2017-07-03 |
| 1679003099 | Andrea Jackson | Social Worker | 306 Popula Blvd, Wappingers Falls, NY 12590-5712 | 2017-06-18 |
| 1578927638 | Andrea Jackson | Licensed Practical Nurse | 1617 Woodbine Ave Se, Warren, OH 44484-4964 | 2016-04-05 |
| 1649606617 | Andrea Jeanine Jackson | Social Worker | 2036 Wood St, Muskegon, MI 49444-1153 | 2013-09-22 |
| 1225371651 | Andrea Latrell Jackson | Social Worker | 10610 N 30th St, Apt. 46h, Tampa, FL 33612-6458 | 2013-04-04 |
| 1124383765 | Andrea Luthelle Jackson | Counselor | 1501 Nw 34th St, Oklahoma City, OK 73118-3203 | 2012-07-10 |
| 1457622656 | Andrea Jasmine Jackson | Behavioral Analyst | 7715 Nw 48 St, Suite B360, Miami, FL 33166 | 2012-01-19 |
| 1306140876 | Andrea Bessie Jackson | Case Manager/Care Coordinator | 6030 S May Ave Apt 451, Oklahoma City, OK 73159-1410 | 2010-12-27 |
| Street Address |
4376 GERMANNA HWY |
| City | LOCUST GROVE |
| State | VA |
| Zip Code | 22508-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164486171 | Dawn Renee Alexander | Family Medicine | 4376 Germanna Hwy, Locust Grove, VA 22508-2008 | 2006-04-14 |
| 1295076388 | Andrea M Crawford | Physician Assistant | 4376 Germanna Hwy, Locust Grove, VA 22508-2008 | 2013-03-14 |
| 1497071260 | Adam H. Johnson | Pediatrics | 4376 Germanna Hwy, Locust Grove, VA 22508-2008 | 2010-04-19 |
| 1932133568 | John M. Bush | Internal Medicine | 4376 Germanna Hwy, Locust Grove, VA 22508 | 2006-07-10 |
| 1760416309 | Herman G. Stubbe | Family Medicine | 4376 Germanna Hwy, Locust Grove, VA 22508 | 2006-07-10 |
| 1447283973 | Tony Fiore | Family Medicine | 4376 Germanna Hwy, Locust Grove, VA 22508-3671 | 2006-07-08 |
| 1972553527 | Amy L. Hull | Physician Assistant | 4376 Germanna Hwy, Locust Grove, VA 22508-2008 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033647219 | Mancare Medical Transportation LLC | Psychologist | 108 Gold Valley Rd, Locust Grove, VA 22508 | 2017-05-31 |
| 1558705517 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 4122 Partnership Way, Locust Grove, VA 22508 | 2013-04-22 |
| 1497893507 | Betty S Gosnell | Counselor | 4448 Germanna Hwy Ste 7c, Locust Grove, VA 22508-2012 | 2007-02-01 |
| 1710070610 | Christine M Stewart | Chiropractor | 4448 Germanna Hwy, Suite 3b, Locust Grove, VA 22508-2012 | 2006-10-02 |
| 1114122579 | Phyllis Byrne | Counselor | 4448 Germanna Hwy Ste 7c, Locust Grove, VA 22508-2012 | 2007-06-17 |
| 1366535247 | Wilderness Family Chiropractic | Chiropractor | 4448 Germanna Hwy, Suite 3b, Locust Grove, VA 22508-2012 | 2006-10-02 |
| 1396745063 | Rehabclinics Spt Inc | Clinic/Center | 5477 Germanna Hwy, Locust Grove, VA 22508-2018 | 2005-07-26 |
| 1245234947 | Eugene French Triplett Jr. | Pharmacist | 5479 Germanna Hwy, Locust Grove, VA 22508-2018 | 2005-06-09 |
| 1598219941 | Shelly Milks | Physical Therapist | 5477 Germanna Hwy, Locust Grove, VA 22508-2018 | 2016-08-14 |
| 1669851317 | Patricia Webster | Pharmacy Technician | 5479 Germanna Hwy, Locust Grove, VA 22508-2018 | 2015-05-28 |
| Find all providers in zip 22508 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770547267 | Lorie N. Johnson | Obstetrics & Gynecology | 3976 Highway 42, Locust Grove, GA 30248-4104 | 2006-04-13 |
| 1912146556 | Just for You Women's Healthcare, Inc | Obstetrics & Gynecology | 3334 Highway 155, A, Locust Grove, GA 30248-3513 | 2009-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324162 | Evoscient Gynecology Center for Pelvic Health and Surgery, PC | Obstetrics & Gynecology | 108 Independence Blvd, Suite 162, Virginia Beach, VA 23455 | 2020-07-24 |
| 1205493129 | Meredith Hooover | Obstetrics & Gynecology | 3300 Gallows Rd Falls Church, Va 22042 - 3307, Arlington, VA 22042 | 2019-05-27 |
| 1083103592 | Premier Ob/gyn Associates LLC | Obstetrics & Gynecology | 3700 Joseph Siewick Dr Ste 102, Fairfax, VA 22033-1737 | 2018-05-09 |
| 1659876530 | Cassandra Lyn Presti | Obstetrics & Gynecology | 3300 Gallows Rd Fl 2, Falls Church, VA 22042 | 2018-03-24 |
| 1215439526 | Women's Choice Obgyn LLC | Obstetrics & Gynecology | 10875 Main St Ste 210, Fairfax, VA 22030-4732 | 2018-03-02 |
| 1871019323 | Ntmt Group | Obstetrics & Gynecology | 8301 Arlington Blvd Ste 206, Fairfax, VA 22031-2902 | 2017-08-16 |
| 1376071951 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 11747 Jefferson Ave Ste 1a, Newport News, VA 23606-4401 | 2017-05-26 |
| 1902339401 | Jerrid Neeley | Obstetrics & Gynecology | 7547 Medical Dr Ste 1200, Gloucester, VA 23061-4351 | 2017-04-11 |
| 1396298873 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 6353 Center Dr Ste 100, Norfolk, VA 23502-4100 | 2016-08-01 |
| 1750731063 | Rachel Bridge | Obstetrics & Gynecology | 3023 Hamaker Ct Ste 210, Fairfax, VA 22031-2240 | 2016-06-16 |
| Find all providers with the same taxonomy | ||||
| City | LOCUST GROVE |
| Zip Code | 22508 |
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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.