DR. JEANINE ANGELA JACKSON (NPI# 1902166895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902166895 |
| Entity Type | Individual |
| Full Name | DR. JEANINE ANGELA JACKSON |
| Credential | AU.D., CCC-A |
| Practice Address |
3239 Telford Ter Sw Atlanta GA 30331-5447 |
| Practice Telephone | 4043461863 |
| Mailing Telephone | 4043461863 |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237600000X | Audiologist-Hearing Aid Fitter | AUD003626 | GA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113223 | Jeanine Jackson | Licensed Practical Nurse | 65 Baxter Dr, Rochester, NY 14626-2137 | 2020-08-03 |
| 1215570080 | Jeanine Catherine Jackson | Behavioral Analyst | 3186 Airway Ave Ste A, Costa Mesa, CA 92626-4650 | 2019-10-23 |
| 1780037374 | Jeanine Jackson | Counselor | 497 Belleville Ave, New Bedford, MA 02746-5432 | 2016-07-19 |
| 1568434231 | Jeanine M. Jackson | Nurse Practitioner | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | 2006-02-06 |
| Street Address |
3239 TELFORD TER SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30331-5447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
| 1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
| 1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
| Find all providers in zip 30331 | ||||
| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386874345 | Ready and Forward Ent LLC | Audiologist-Hearing Aid Fitter | 1500 Cumberland Mall Se, Atlanta, GA 30339-3141 | 2009-07-23 |
| 1275594418 | Maria Szczepanski Wynens | Audiologist-Hearing Aid Fitter | 5885 Glenridge Drive, Suite 155, Atlanta, GA 30328-5512 | 2006-03-29 |
| 1366820276 | Advanced Hearing, LLC | Audiologist-Hearing Aid Fitter | 5673 Peachtree Dunwoody Rd, Suite 150, Atlanta, GA 30342-1731 | 2015-05-12 |
| 1205256914 | Northland Hearing Centers, Inc | Audiologist-Hearing Aid Fitter | 4360 Chamblee Dunwoody Rd, Suite 180, Atlanta, GA 30341-1049 | 2014-04-21 |
| 1558660381 | Stacy Leigh Pickelman | Audiologist-Hearing Aid Fitter | 960 Johnson Ferry Rd, Ste 200, Atlanta, GA 30342-1601 | 2011-03-18 |
| 1801192141 | John C Schellman | Audiologist-Hearing Aid Fitter | 4360 Chamblee Dunwoody Rd, Suite #180, Atlanta, GA 30341-1049 | 2011-02-03 |
| 1710117775 | Ready and Fordward Ent LLC | Audiologist-Hearing Aid Fitter | 2090 Dunwoody Club Dr, Ste. 106-246, Atlanta, GA 30350-5434 | 2009-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144865957 | Eric Alan Fuller | Audiologist-Hearing Aid Fitter | 700 East 2nd Street, Suite C, Rome, GA 30161 | 2019-11-15 |
| 1235610932 | Bree Ellesse Blackwell | Audiologist-Hearing Aid Fitter | 527 Stephenson Ave Unit A-3, Savannah, GA 31405-5923 | 2018-08-22 |
| 1356836878 | Hcenti, LLC | Audiologist-Hearing Aid Fitter | 2365 Old Milton Parkway, Alpharetta, GA 30009 | 2018-06-27 |
| 1952768624 | Richard Falconbury | Audiologist-Hearing Aid Fitter | 967 Battlefield Pkwy, Ft Oglethorpe, GA 30742 | 2016-01-26 |
| 1841602372 | Kerri Jo Hudson | Audiologist-Hearing Aid Fitter | 410 Sw Us Highway 80, Pooler, GA 31322-2541 | 2014-06-02 |
| 1356673891 | Laurie Mcdaniel Scarrow | Audiologist-Hearing Aid Fitter | 27 8th Seave, Moultrie, GA 31768-5500 | 2010-02-09 |
| 1043440183 | Ready and Forward Ent LLC | Audiologist-Hearing Aid Fitter | 8020 Mall Pkwy, Lithonia, GA 30038-2542 | 2009-07-23 |
| 1841420809 | Ready and Forward Ent LLC | Audiologist-Hearing Aid Fitter | 1300 Southlake Mall, Morrow, GA 30260-2326 | 2009-07-23 |
| 1942430087 | Ready and Forward Ent LLC | Audiologist-Hearing Aid Fitter | 6000 Northpoint Cir, Alpharetta, GA 30022-4862 | 2009-07-23 |
| 1821228974 | Ready and Forward Ent LLC | Audiologist-Hearing Aid Fitter | 3701 Atlanta Hwy Ste 1, Bogart, GA 30622-2218 | 2009-07-23 |
| Find all providers with the same taxonomy | ||||
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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.