DR. CHRISTOPHER GLEN JACKSON (NPI# 1942721667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942721667 |
Entity Type | Individual |
Full Name | DR. CHRISTOPHER GLEN JACKSON |
Credential | DO |
Practice Address |
1120 15th Street Augusta GA 30912 |
Mailing Address |
1120 15th St Augusta GA 30912-0004 |
Practice Telephone | 7068322293 |
Enumeration Date | 2017-07-03 |
Last Update Date | 2017-07-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 009729 | GA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417502998 | Christopher Robert Jackson | Residential Treatment Facility, Emotionally Disturbed Children | 1502 Liatris Ln, North Pole, AK 99705-5082 | 2019-08-01 |
1144880469 | Christopher Luke Jackson | Registered Nurse | 2177 N Brower St, Simi Valley, CA 93065-2447 | 2019-06-18 |
1427612480 | Christopher John Jackson | Registered Nurse | 8921 Harvey St, Livonia, MI 48150-3518 | 2019-04-25 |
1972009041 | Christopher Carl Jackson | Physical Therapist | 1230 Felice Cutoff Rd, Ragley, LA 70657-6645 | 2018-04-05 |
1538674312 | Christopher D. Jackson | Counselor | 165 Warner St, Rochester, NY 14606-1832 | 2017-12-03 |
1720513997 | Christopher Ainsley Nally Jackson | Massage Therapist | 124 Wren Way, Newark, DE 19711-8330 | 2017-04-25 |
1073980736 | Christopher G Jackson | Physical Therapist | 3143 Pelham Pkwy Ste 400, Pelham, AL 35124-6301 | 2015-08-28 |
1932442498 | Christopher Paul Jackson | Technician | 7821 Island Dr, Anchorage, AK 99504-2728 | 2013-04-03 |
1710229224 | Christopher Mitchell Jackson | Neurological Surgery | 600 N Wolfe St Tower 110, The Johns Hopkins Hospital, Baltimore, MD 21287-2109 | 2013-03-22 |
1417107947 | Christopher L Jackson | Acupuncturist | 7901 4th St N Ste 312, St Petersburg, FL 33702 | 2008-09-20 |
Street Address |
1120 15TH STREET |
City | AUGUSTA |
State | GA |
Zip Code | 30912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447237375 | Ricardo Azziz | Obstetrics & Gynecology | 1120 15th Street, Augusta, GA 30912-0004 | 2005-12-30 |
1174094668 | Mary Gabrielle Helfgott | Advanced Practice Midwife | 1120 15th Street, Ba #7513, Augusta, GA 30912 | 2018-12-10 |
1912492471 | Sarah Crumley Asmann | Nurse Practitioner | 1120 15th Street, Department of Surgery, Augusta, GA 30912 | 2018-06-27 |
1912499286 | Jillian Marie Soto | Family Medicine | 1120 15th Street, Augusta, GA 30912 | 2018-06-03 |
1447740741 | Amanda Meredith Saxon | Nurse Practitioner | 1120 15th Street, Bbr 6518, Augusta, GA 30912 | 2018-05-14 |
1447757968 | Mohamed M Meghil | Student in an Organized Health Care Education/Training Program | 1120 15th Street, Gc-1337, Augusta, GA 30912 | 2018-04-11 |
1063933000 | Andrea Martinez-velez | Anesthesiology | 1120 15th Street, Augusta, GA 30912 | 2017-06-29 |
1063941409 | Viviam Skarleth Trejo | Surgery | 1120 15th Street, Augusta, GA 30912 | 2017-06-08 |
1548799976 | Alexander Herzog | Internal Medicine | 1120 15th Street, Augusta, GA 30912 | 2017-06-08 |
1013446798 | Steven Tae Yi | Internal Medicine | 1120 15th Street, Augusta, GA 30912 | 2017-06-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
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Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215310768 | John Bates Mccutcheon | Emergency Medicine | 3138 Westminster Dr, Augusta, GA 30909-3242 | 2015-07-01 |
1891114492 | Darrel Douglas | Emergency Medicine | 1120 15th St # Af-1020, Augusta, GA 30912-0004 | 2014-04-10 |
1740624774 | Desiree Brooks | Emergency Medicine | 1507 Troupe St, Apt #5, Augusta, GA 30904-5099 | 2013-04-21 |
1316258932 | Charles Robert Sheldon | Emergency Medicine | 2704 Smith Creek Rd, Augusta, GA 30909-2322 | 2010-06-29 |
1679899215 | Beau Philip Gedrick | Emergency Medicine | 1102 15th St, Augusta, GA 30912-0004 | 2010-04-07 |
1245492958 | Abhijit Singh | Emergency Medicine | 1120 15th Street Augusta University Medical Center, Augusta, GA 30912-2504 | 2008-06-25 |
1487870168 | Suzanne Joy Atteberry | Emergency Medicine | 1120 15th St Rm Af-2056, Augusta, GA 30912-0004 | 2007-04-18 |
1427086909 | Tricia-may Villanueva Harris | Emergency Medicine | 3651 Wheeler Road, Augusta, GA 30909 | 2006-06-30 |
1093758724 | George Clark Pursley | Emergency Medicine | 1219 West Wheeler Pkwy, Suite A, Augusta, GA 30909-1867 | 2006-06-13 |
1760434757 | Wakili Salihu Yarima | Emergency Medicine | 1120 15th Street Af 2036, Emergency Medicine Department, Medical College of Georgia, Augusta, GA 30912 | 2006-05-17 |
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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.