JACKSON RODGERS


Address: 5a Whispering Pines Ct, Macon, IL 62544-7218
Phone: 6368668958

JACKSON RODGERS (NPI# 1760005664) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 5A WHISPERING PINES CT
City MACON
State IL
Zip Code 62544-7218

Providers in the same zip code

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

Providers in the same city

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
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City MACON
Zip Code 62544

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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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