EUGENE HOOKS JACKSON (NPI# 1538165386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538165386 |
| Entity Type | Individual |
| Full Name | EUGENE HOOKS JACKSON |
| Credential | MD |
| Practice Address |
118 Norman Dorminy Dr Fitzgerald GA 31750-8858 |
| Mailing Address |
Po Box 1447 Fitzgerald GA 31750-1447 |
| Practice Telephone | 2294239561 |
| Mailing Telephone | 2294239561 |
| Mailing Fax Number | 2294247097 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2015-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 022793 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548345325 | Eugene F Jackson | Physician Assistant | 125 Executive Dr, Suite A, Danville, VA 24541-4155 | 2006-10-27 |
| Street Address |
118 NORMAN DORMINY DR |
| City | FITZGERALD |
| State | GA |
| Zip Code | 31750-8858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619365632 | Kathryn Petrie | Nurse Practitioner | 118 Norman Dorminy Dr, Fitzgerald, GA 31750-8858 | 2014-12-29 |
| 1649599416 | David L Day | Family Medicine | 118 Norman Dorminy Dr, Fitzgerald, GA 31750-8858 | 2010-05-19 |
| 1275658783 | Thomas R. Mann, M.d.pc | Internal Medicine | 118 Norman Dorminy Dr, Fitzgerald, GA 31750-8858 | 2007-03-21 |
| 1538284278 | Robert A Ludwick, M.d.pc | Family Medicine | 118 Norman Dorminy Dr, Fitzgerald, GA 31750-8858 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662741 | Rural Urgent Care LLC | Clinic/Center | 125 Benjamin H Hill Dr. Sw, Fitzgerald, GA 31750 | 2020-09-03 |
| 1730604943 | Karen Denise Charles | Rehabilitation Counselor | 410 South Sherman Street, Fitzgerald, GA 31750 | 2017-08-08 |
| 1457898249 | Walter Stone | Nurse Practitioner | 116 Norman Dorminy Dr, Ste 12, Dmc Physician Group LLC, Fitzgerald, GA 31750 | 2017-01-31 |
| 1013315605 | Tift County Hospital Authority | Family Medicine | 246 Ben Hill Drive, Fitzgerald, GA 31750 | 2014-12-12 |
| 1881940211 | We Care Transportation, LLC | Non-emergency Medical Transport (VAN) | 608 N Sherman St, Fitzgerald, GA 31750 | 2012-08-03 |
| 1922365501 | Shayla Curtis | Family Medicine | 613 S Grant St, Fitzgerald, GA 31750 | 2012-04-19 |
| 1134380520 | Winston C Ugbajah | Family Medicine | 116 Benjamin Hill Drive, Suite 12, Fitzgerald, GA 31750 | 2008-06-19 |
| 1306966791 | Larry E Forth O D P C | Optometrist | 708 S Grant St, Suite #18, Fitzgerald, GA 31750 | 2007-03-30 |
| 1740370691 | Thomas R Mann | Internal Medicine | 118 Norman Dorminy Drive, Fitzgerald, GA 31750 | 2006-10-13 |
| 1407865389 | Jude Ogho Okugbeni | Family Medicine | 407 West Pine, Fitzgerald, GA 31750 | 2006-08-07 |
| Find all providers in zip 31750 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013315605 | Tift County Hospital Authority | Family Medicine | 246 Ben Hill Drive, Fitzgerald, GA 31750 | 2014-12-12 |
| 1922365501 | Shayla Curtis | Family Medicine | 613 S Grant St, Fitzgerald, GA 31750 | 2012-04-19 |
| 1134380520 | Winston C Ugbajah | Family Medicine | 116 Benjamin Hill Drive, Suite 12, Fitzgerald, GA 31750 | 2008-06-19 |
| 1407865389 | Jude Ogho Okugbeni | Family Medicine | 407 West Pine, Fitzgerald, GA 31750 | 2006-08-07 |
| 1346237096 | Edd C Jones IIi | Family Medicine | 182 Perry House Rd Ste H, Fitzgerald, GA 31750-8721 | 2005-09-28 |
| 1659364040 | Robert Vernon Reese | Family Medicine | 201 W Pine St, Fitzgerald, GA 31750-2863 | 2005-08-31 |
| 1649599416 | David L Day | Family Medicine | 118 Norman Dorminy Dr, Fitzgerald, GA 31750-8858 | 2010-05-19 |
| 1457556375 | Durden Medical Clinic | Family Medicine | 110 Norman Dorminy Dr, Suite A, Fitzgerald, GA 31750-8858 | 2007-06-20 |
| 1538284278 | Robert A Ludwick, M.d.pc | Family Medicine | 118 Norman Dorminy Dr, Fitzgerald, GA 31750-8858 | 2007-03-20 |
| 1598842031 | Charles Henry Durden | Family Medicine | 110 Norman Dorminy Dr, Suite A, Fitzgerald, GA 31750-8858 | 2006-11-01 |
| Find all providers in FITZGERALD | ||||
| City | FITZGERALD |
| Zip Code | 31750 |
Please comment or provide details below to improve the information on EUGENE HOOKS JACKSON.
| 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.