AMELIA JACKSON (NPI# 1801299201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801299201 |
| Entity Type | Individual |
| Full Name | AMELIA JACKSON |
| Practice Address |
1061 Harmon Ave Fort Stewart GA 31314-5641 |
| Practice Telephone | 9124355541 |
| Mailing Telephone | 9124355541 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 740612 | TX | Nursing Service Providers |
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
740612 | TX | Nursing Service Providers |
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
740612 | TX | Nursing Service Providers |
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
740612 | TX | Nursing Service Providers |
| N | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
740612 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134549751 | Amelia Jackson | Adult Companion | 23636 Michigan Ave # 487, Dearborn, MI 48124-1910 | 2014-04-22 |
| 1588094304 | Amelia Jackson | Nurse Practitioner | 7923 Honeygo Blvd, White Marsh, MD 21236 | 2013-11-14 |
| 1558992248 | Amelia Ellen Jackson | Occupational Therapist | 1270 Belmont Ave, Schenectady, NY 12308-2104 | 2020-01-31 |
| 1578017570 | Amelia Jackson | Physical Therapist | 1755 Wittington Pl, #175, Dallas, TX 75234-1927 | 2016-08-08 |
| 1093105918 | Amelia Dee Jackson | Nurse Practitioner | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2015-01-30 |
| 1073878674 | Amelia C Jackson | Social Worker | 6549 Town Center Dr, Suite A, Clarkston, MI 48346-4824 | 2012-07-10 |
| Street Address |
1061 HARMON AVE |
| City | FORT STEWART |
| State | GA |
| Zip Code | 31314-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596486 | Donald E Shackleford | Obstetrics & Gynecology | 1061 Harmon Ave, Fort Stewart, GA 31314 | 2005-05-27 |
| 1619575081 | Rudy Noel Torres Negron | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-16 |
| 1629675434 | Darryl B Moore | Counselor | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-05 |
| 1093330268 | Lesheia Tasker | Technician, Other | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-06-12 |
| 1770111270 | Kendal Padgett | Physical Therapist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-30 |
| 1104452218 | Tiffany L Stark | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-20 |
| 1396371035 | Alicia Nichole Hasquin | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-13 |
| 1407481492 | Matthew Douglas Lueders | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1316572308 | Seth Ravid | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1487289526 | Huon Sharpe | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457800526 | Michael Brown IIi | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2016-09-29 |
| 1124424007 | Myriam Cases | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-11-05 |
| 1538560305 | Melanie Bell | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-11 |
| 1124429568 | Anita Sachs | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-04 |
| 1114326923 | Kimberly Lashaye Gregory | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381327 | Jamaria A Bryant | Registered Nurse | 2050 Roswell Rd Ste 312, Marietta, GA 30062-3811 | 2020-09-17 |
| 1063052470 | Kimberly Michel Davis | Registered Nurse | 4560 Atwater Ct Ste 105-2, Buford, GA 30518-3497 | 2020-01-14 |
| 1043879075 | Latavia Howard | Registered Nurse | 495 Lory Ln, Grovetown, GA 30813-6104 | 2019-06-12 |
| 1336678317 | Lisa Dove Blakely | Registered Nurse | 1659 Woodbridge Ln Ne, Atlanta, GA 30329-3536 | 2017-06-05 |
| 1194257931 | Cheryl Davis | Registered Nurse | 118 S Madison St, Suite 4, Thomasville, GA 31792-5495 | 2017-03-31 |
| 1366815383 | Mary Azuh | Registered Nurse | 1069 Lakefield Walk, Marietta, GA 30064-5758 | 2015-11-12 |
| 1720462575 | Kimily Singleton | Registered Nurse | 821 Pavilion Ct Ste G, Mcdonough, GA 30253-5223 | 2015-07-10 |
| 1891126561 | Constance English | Registered Nurse | 1332 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-5143 | 2013-12-06 |
| 1750633251 | Karen D Stack | Registered Nurse | 2793 Clairmont Rd Ne, Suite 213, Atlanta, GA 30329-2700 | 2012-10-08 |
| 1447523139 | Donna B Walden | Registered Nurse | 161 Finncannon Dr, Ellijay, GA 30536-4773 | 2012-02-11 |
| Find all providers with the same taxonomy | ||||
| City | FORT STEWART |
| Zip Code | 31314 |
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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.