JACKSON RODGERS (NPI# 1760005664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760005664 |
Entity Type | Individual |
Full Name | JACKSON RODGERS |
Credential | PHYSICIAN ASSISTANT |
Practice Address |
5a Whispering Pines Ct Macon IL 62544-7218 |
Practice Telephone | 6368668958 |
Mailing Telephone | 6368668958 |
Enumeration Date | 2020-05-26 |
Last Update Date | 2020-05-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
5A WHISPERING PINES CT |
City | MACON |
State | IL |
Zip Code | 62544-7218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578766242 | Order of The Eastern Star Home | Nursing Facility/Intermediate Care Facility | 9890 Star Lane, Macon, IL 62544 | 2007-06-08 |
1962689364 | Meridian Cusd 15 | Local Education Agency (LEA) | 728 S Wall St, Macon, IL 62544-4380 | 2008-01-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376143941 | Wanda Welch | Spec/Tech, Health Info | 2720 Sheraton Dr Ste 170, Macon, GA 31204-6806 | 2020-10-31 |
1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
1346840451 | Emily Lauren Brooks | Registered Nurse | 104 Ellis Way, Macon, GA 31216-6278 | 2020-10-28 |
1538768296 | Ga Diagnostic Providers | Clinic/Center | 5400 Riverside Dr Ste 202, Macon, GA 31210-0818 | 2020-10-22 |
1134728447 | Daniela Morgan Ragins | Registered Nurse | 4287 Vinson Ave, Macon, GA 31206-4055 | 2020-10-19 |
1659979086 | Mvp Physio Dr. | Clinic/Center | 123 Umiya Nagar Cir, Macon, GA 31206-5401 | 2020-10-16 |
1225636392 | Courtney Hampton | Counselor | 1800 Wesleyan Dr Apt 95, Macon, GA 31210-1075 | 2020-10-12 |
1578160560 | Ida Mayaka | Nurse Practitioner | 210 Autumn Trace Ct, Macon, GA 31210-8025 | 2020-10-03 |
1821604158 | Tekeria Gallemore | Nurse Practitioner | 204 Rockingham Pl, Macon, GA 31217-2615 | 2020-09-22 |
1801402714 | Top Dog Solutions LLC | Otolaryngology | 4295 Interstate Dr Ste B, Macon, GA 31210-6815 | 2020-09-17 |
Find all providers in MACON |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548882780 | Lauren Elizabeth Lewis | Student in an Organized Health Care Education/Training Program | 790 1st St, Macon, GA 31201-6874 | 2020-05-11 |
1639708654 | Nehal Ninad | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street Ln, Macon, GA 31201-2168 | 2020-04-02 |
1346878279 | Albarra Younis | Student in an Organized Health Care Education/Training Program | 6445 Stapleton Rd, Macon, GA 31216-5234 | 2020-03-27 |
1396372496 | Joseph Martin Roberts | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street Ln # 42, Macon, GA 31201-2168 | 2020-03-26 |
1336775204 | Christopher Robin Denham | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr Bldg A, Macon, GA 31217-8001 | 2020-03-23 |
1144852856 | Rachel Kathryn Albrecht | Student in an Organized Health Care Education/Training Program | 1500 College St, Macon, GA 31207-1500 | 2020-02-11 |
1710519616 | Elisha Scott | Student in an Organized Health Care Education/Training Program | 1345 Hardeman Ave Apt 415a, Macon, GA 31201-4403 | 2020-02-08 |
1871125179 | Aaron Daniel Brown | Student in an Organized Health Care Education/Training Program | 804 Locust St, Macon, MO 63552-1846 | 2020-02-05 |
1316593262 | Nicole Theresia Mette | Student in an Organized Health Care Education/Training Program | 1550 College St Mercer University School of Medicine, Macon, GA 31207-0001 | 2019-08-16 |
1942760095 | Ara Scott | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr, Bldg A, Ste 430, Macon, GA 31217-8017 | 2019-03-24 |
Find all providers in MACON |
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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.