DR. JOSEPH L JACKSON JR. (NPI# 1780626721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780626721 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH L JACKSON JR. |
| Credential | M.D. |
| Practice Address |
305 Jones Ave Waynesboro GA 30830-1510 |
| Practice Telephone | 7065545147 |
| Practice Fax Number | 7065546111 |
| Mailing Telephone | 7065545147 |
| Mailing Fax Number | 7065546111 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2015-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 052277 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 040331441B | 05 | |
| GA | 040331441A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891152773 | Joseph Granville Jackson | Counselor | 411 Sparrow St, Lake Providence, LA 71254-3035 | 2016-01-22 |
| 1538560123 | Joseph Ryan Jackson | Chiropractor | 1043 Brownsville Rd, Morgantown, KY 42261-7011 | 2014-09-15 |
| 1922392927 | Joseph Alling Jackson | Social Worker | 66 Old Stockbridge Rd, Lenox, MA 01240-2810 | 2011-06-07 |
| 1760708127 | Joseph L Jackson | Dentist | 1241 Riverside Ave, Fort Collins, CO 80524-3204 | 2010-04-10 |
| 1962731315 | Joseph S Jackson | Counselor | 502 Downing Ct, Exton, PA 19341-2090 | 2009-12-14 |
| 1851547749 | Joseph Loy Jackson | Dentist | 2719 Limestone Pkwy, Gainesville, GA 30501-1472 | 2008-08-12 |
| 1235306143 | Joseph Jackson | Physical Therapist | 15640 S Normandie Ave, Gardena, CA 90247-4016 | 2008-05-09 |
| 1518175520 | Joseph William Jackson | Dentist | 322 N Elm St, Oxford, OH 45056-1123 | 2007-05-21 |
| 1801918602 | Joseph C Jackson Jr. | Dentist | 147 2nd Ave S Ste 308, Saint Petersburg, FL 33701-4393 | 2007-04-04 |
| 1073633624 | Joseph A Jackson | Psychiatry & Neurology | 30941 Mill Ln Ste G-132, Spanish Fort, AL 36527-5456 | 2007-03-29 |
| Street Address |
305 JONES AVE |
| City | WAYNESBORO |
| State | GA |
| Zip Code | 30830-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164469078 | Medical Specialists, Inc. | Family Medicine | 305 Jones Ave, Waynesboro, GA 30830-1510 | 2006-05-31 |
| 1720334931 | Jenifer Byrd | Nurse Practitioner | 305 Jones Ave, Waynesboro, GA 30830-1510 | 2012-07-25 |
| 1053680405 | Karen Elaine Burke | Nurse Practitioner | 305 Jones Ave, Waynesboro, GA 30830-1510 | 2011-12-14 |
| 1306057328 | Troy E Hutcheson | Physician Assistant | 305 Jones Ave, Waynesboro, GA 30830-1510 | 2007-05-24 |
| 1336182203 | Shelley A Griffin | Pediatrics | 305 Jones Ave, Waynesboro, GA 30830-1510 | 2006-06-14 |
| 1962445841 | Johnny F Christian | Family Medicine | 305 Jones Ave, Waynesboro, GA 30830-1510 | 2006-06-14 |
| 1568404457 | Shelley H Mallard | Nurse Practitioner | 305 Jones Ave, Waynesboro, GA 30830-1510 | 2006-06-12 |
| 1215979257 | Harvey J Sanders Jr. | Internal Medicine | 305 Jones Ave, Waynesboro, GA 30830-1510 | 2006-06-12 |
| 1366483356 | Joseph L Jackson Sr. | Family Medicine | 305 Jones Ave, Waynesboro, GA 30830-1510 | 2006-06-09 |
| 1063459899 | Medical Specialists | Family Medicine | 305 Jones Ave, Waynesboro, GA 30830-1510 | 2006-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935841 | Benjamin Wade Alverson | Dentist | 264 Hopkins Corner Dr. Suite D-8, Waynesboro, GA 30830 | 2020-06-08 |
| 1619524865 | Clark Drug Company, LLC. | Pharmacy | 206 W 6th Street, Waynesboro, GA 30830 | 2019-08-22 |
| 1508181405 | Walter R. Voyles | Surgery | 506 Burkeland Rd, Waynesboro, GA 30830 | 2010-04-02 |
| 1124264015 | Southern Health Solutions, LLC | Early Intervention Provider Agency | 6293c Highway 23 South, Waynesboro, GA 30830 | 2008-12-23 |
| 1184814519 | Bonnie P Jenkins Md PC | Family Medicine | 201 Dogwood Drive, Waynesboro, GA 30830 | 2007-08-01 |
| 1528113388 | Margaret Ann Mcgraw | Licensed Practical Nurse | 305 Park Dr, Waynesboro, GA 30830 | 2007-01-24 |
| 1780739599 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 305 Park Drive, Waynesboro, GA 30830 | 2007-01-24 |
| 1356496194 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 556 Hwy 25 South, Waynesboro, GA 30830 | 2007-01-24 |
| 1396890091 | Frances Gilbreth Brown | Counselor | 629 Shadrack Street, Waynesboro, GA 30830 | 2007-01-24 |
| 1316092000 | Connie Golding | Counselor | 727 W. Sixth Street, Waynesboro, GA 30830 | 2007-01-24 |
| Find all providers in zip 30830 | ||||
| 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 |
|---|---|---|---|---|
| 1730511858 | Amg Crockett LLC | Family Medicine | 550 Highway 64 E, Hurricane Plaza Suite 4, Waynesboro, TN 38485-3037 | 2013-07-31 |
| 1578909347 | Kristamarie F Collman | Family Medicine | 201 Lew Dewitt Blvd Ste A, Waynesboro, VA 22980 | 2013-05-20 |
| 1275762320 | Arthur Eugene Wood Iv | Family Medicine | 920 Matthew Dr Ste D, Waynesboro, MS 39367-2553 | 2009-07-10 |
| 1285882662 | Wayne General Hospital | Family Medicine | 951 Matthew Dr Ste A, Waynesboro, MS 39367-2566 | 2008-08-28 |
| 1184814519 | Bonnie P Jenkins Md PC | Family Medicine | 201 Dogwood Drive, Waynesboro, GA 30830 | 2007-08-01 |
| 1477760122 | David Barclay Walthall IIi | Family Medicine | 541 Walnut Ave, Waynesboro, VA 22980 | 2007-05-16 |
| 1184842551 | Laura Jean Brand | Family Medicine | 2014 Goose Creek Rd, Suite 106, Waynesboro, VA 22980-6588 | 2007-04-23 |
| 1851488514 | Charles Todd Stokley | Family Medicine | 940 Matthew Drive, Suite 2, Waynesboro, MS 39367 | 2006-10-06 |
| 1023110392 | Joe I Hall Md PC | Family Medicine | 107 J V Mangubat Drive, Waynesboro, TN 38485-2440 | 2006-09-05 |
| 1861432916 | Bonnie P Jenkins | Family Medicine | 201 Dogwood Dr, Waynesboro, GA 30830-5445 | 2006-06-07 |
| Find all providers in WAYNESBORO | ||||
| City | WAYNESBORO |
| Zip Code | 30830 |
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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.