SAVANNAH BRYANNA JACKSON


Address: 100 Professional Pl Ste 204, Carrollton, GA 30117-3802
Phone: 7708343351

SAVANNAH BRYANNA JACKSON (NPI# 1558876524) 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) 1558876524
Entity Type Individual
Full Name SAVANNAH BRYANNA JACKSON
Credential NP
Practice Address 100 Professional Pl Ste 204
Carrollton
GA 30117-3802
Mailing Address 100 Professional Park
Suite 204
Carrollton
GA 30117
Practice Telephone 7708343351
Enumeration Date 2017-12-12
Last Update Date 2018-02-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
RN222275 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers SAVANNAH JACKSON

NPI Name Taxonomy Address Enumeration
1700347515 Savannah Leigh Jackson Occupational Therapist 222 Ladean Ct Ste E, Simpsonville, SC 29680-7504 2019-03-26

Office Location

Street Address 100 PROFESSIONAL PL STE 204
City CARROLLTON
State GA
Zip Code 30117-3802

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053453787 Pinnacle Orthopaedics and Sports Medicine Specialist 100 Professional Pl Ste 204, Carrollton, GA 30117-3802 2007-02-12
1487153839 Lauren Holcombe Nurse Practitioner 100 Professional Pl Ste 204, Carrollton, GA 30117 2018-02-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679199392 Southern Rad Onc LLC Radiology 809 South Park Street, Carrollton, GA 30117 2020-06-18
1093361404 Eyedeal Eyecare LLC Optometrist 1735 S Us 27, Carrollton, GA 30117 2019-08-12
1710412473 Janis James Optometrist 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 2017-05-01
1568881951 Omar Hajmurad Anesthesiology 812 S Park St Ste 5, Carrollton, GA 30117 2014-04-14
1134550353 Goodbodys Minor Med Express Care Nurse Practitioner 1670 South Park St., Carrollton, GA 30117 2013-12-13
1306187570 Myriam C Vela-ortiz Internal Medicine 157 Clinic Ave Ste 203, Carrollton, GA 30117 2013-03-12
1891030201 Air Evac Ems, Inc. Ambulance 827 Old Bremen Rd, Carrollton, GA 30117 2012-12-11
1952682486 Angelic Wings Transport, Inc. Non-emergency Medical Transport (VAN) 362 B Columbia Drive, Carrollton, GA 30117 2011-08-29
1073819256 Atlanta Prosthetics & Orthotics, Inc. Durable Medical Equipment & Medical Supplies 812 South Park Street, Suite 2, Carrollton, GA 30117 2011-02-04
1255640348 Amy Gilbert Counselor 515 Tanner St, Carrollton, GA 30117 2010-10-06
Find all providers in zip 30117

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194203851 Laura Marie Fessler Nurse Practitioner 2300 Marsh Ln Apt 214, Carrollton, TX 75006-4852 2018-08-03
1417458498 Larrice Tela Gorley Nurse Practitioner 174 Emerald Pointe Dr, Carrollton, GA 30116-9409 2018-02-23
1851733679 Angela M Rogers Nurse Practitioner 100 Professional Pl Ste 310, Carrollton, GA 30117-3872 2013-07-22
1326676206 Jessica Danielle Spears Nurse Practitioner 4343 N Josey Ln, Carrollton, TX 75010-4603 2020-03-27
1659907160 Angelita Ancheta Parrish Nurse Practitioner 2340 E Trinity Mills Rd Ste 250, Carrollton, TX 75006-1946 2020-03-16
1780043463 Michael John Sullivan Nurse Practitioner 705 Dixie St, Suite 401, Carrollton, GA 30117-3818 2016-02-23
1689045957 Kelsey Elizabeth Reekie Nurse Practitioner 4240 International Pkwy, Suite 154, Carrollton, TX 75007-1970 2015-10-13
1588079248 Emily Tarpley Massey Nurse Practitioner 157 Clinic Ave Ste 203, Carrollton, GA 30117-4454 2014-06-20
1093956351 Melanie Sims Nurse Practitioner 705 Dixie St, Carrollton, GA 30117-3818 2009-03-17
1881818854 Tracy Lynn Brown Nurse Practitioner 4325 N Josey Ln, Plaza 2 Suite 301, Carrollton, TX 75010-4635 2007-04-12
Find all providers in CARROLLTON

Competitor

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City CARROLLTON
Zip Code 30117

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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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