DR. CHRISTOPHER GLEN JACKSON


Address: 1120 15th Street, Augusta, GA 30912
Phone: 7068322293

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 009729 GA Allopathic & Osteopathic Physicians

Other Providers CHRISTOPHER JACKSON

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

Office Location

Street Address 1120 15TH STREET
City AUGUSTA
State GA
Zip Code 30912

Providers in the same location

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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Providers in the same zip code

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
Find all providers in zip 30912

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
Find all providers in AUGUSTA

Competitor

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City AUGUSTA
Zip Code 30912

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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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