David R Jackson
THE NIGHTINGALE CLINIC, PC


Address: 606 W Screven St, Quitman, GA 31643-0845
Phone: 2292638888

David R Jackson (NPI# 1215079983, PAC ID# 8325937956) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1215079983
PAC ID by PECOS 8325937956
Professional Enrollment ID I20040312000173
Full Name David R Jackson
Organization Legal Name THE NIGHTINGALE CLINIC, PC
Address 606 W Screven St
Quitman
GA 31643-0845
Phone Number 2292638888
Gender M
Credential NP
Graduation Year 2001
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 8527957133
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
111332 BROOKS COUNTY HOSPITAL
110038 JOHN D ARCHBOLD MEMORIAL HOSPITAL
110122 SOUTH GEORGIA MEDICAL CENTER

Other Locations

Address Phone Organization
606 W Screven St, Quitman, GA 31643-0845 2292638888 THE NIGHTINGALE CLINIC, PC

Organization Information

Organization Legal Name THE NIGHTINGALE CLINIC, PC
Physicians 1

Office Location

Street Address 606 W SCREVEN ST
City QUITMAN
State GA
Zip 31643-0845

Physicians in the same location

Name Specialty Organization Address
Rachel G Velez Family Medicine 606 W Screven St, Quitman, GA 31643-0845

Physicians in the same zip code

Name Specialty Organization Address
James T Brown Family Medicine Primary Care of Southwest Georgia Inc 907 N Court St, Quitman, GA 31643-1315
Frantz E Felix Family Medicine Primary Care of Southwest Georgia Inc 907 N Court St, Quitman, GA 31643-1315
Susan Mildred Harding Internal Medicine 905 N Court St, Quitman, GA 31643-1362
Ricky J Rowe Optometry 104 N Madison St, Quitman, GA 31643-2012
Kelley S Helquist Diagnostic Radiology Brooks County Hospital 903 N Court St, Quitman, GA 31643-5001
William C Allen Diagnostic Radiology Brooks County Hospital 903 N Court St, Quitman, GA 31643-5001
Geoffrey S Deutsch General Surgery Brooks County Hospital 903 N Court St, Quitman, GA 31643-5001
Mark T Helquist Diagnostic Radiology Brooks County Hospital 903 N Court St, Quitman, GA 31643-5001
Cary C Newman Diagnostic Radiology Brooks County Hospital 903 N Court St, Quitman, GA 31643-5001
William L Cooper Internal Medicine Brooks County Hospital 903 N Court St, Quitman, GA 31643-5001
Find all physicians in zip 31643

Competitor

Search similar physicians

City QUITMAN
Zip Code 31643
Specialty NURSE PRACTITIONER
City + Specialty QUITMAN + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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