DR. EMILY BROCKETT JACKSON


Address: 1670 Clairmont Road, Atlanta Va Medical Center, Decatur, GA 30033
Phone: 4044290419

DR. EMILY BROCKETT JACKSON (NPI# 1003126962) 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) 1003126962
Entity Type Individual
Full Name DR. EMILY BROCKETT JACKSON
Credential PHD
Practice Address 1670 Clairmont Road
Atlanta Va Medical Center
Decatur
GA 30033
Mailing Address 15 Cardinal Ct
Stockbridge
GA 30281-1785
Practice Telephone 4044290419
Mailing Telephone 4044290419
Enumeration Date 2010-10-13
Last Update Date 2010-10-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
PSY003380 GA Behavioral Health & Social Service Providers

Other Providers EMILY JACKSON

NPI Name Taxonomy Address Enumeration
1720509268 Emily Jackson Nurse Practitioner 2623 Centennial Blvd Ste 103, Tallahassee, FL 32308-0601 2017-07-06
1568618825 Emily Jackson Counselor 26229 Us Hughway 119 North, Toler, KY 41514 2008-08-18
1184893398 Emily Bennett Jackson Social Worker 132 W 112th St Apt 3d, New York, NY 10026-3753 2008-02-22
1417040288 Emily Jackson Physical Therapist 5400 S Pennsylvania Ave, Lansing, MI 48911-4049 2006-10-02
1831790328 Emily Estella Jackson Counselor 5555 Airport Hwy Ste 132, Toledo, OH 43615-7380 2020-11-03
1164040952 Emily Jackson Specialist/Technologist 11200 Sw 8th St, Miami, FL 33199-2516 2020-07-08
1346883493 Emily Lynn Jackson Physician Assistant 30736 Hoover Rd, Warren, MI 48093-2555 2019-10-22
1265073969 Emily Gigena Jackson Counselor 1200 N Howard St, Alexandria, VA 22304-1634 2019-10-03
1437709888 Emily Jackson Counselor 101 Buford Rd Ste 110, North Chesterfield, VA 23235-5292 2019-09-18
1316419955 Emily Carol Jackson Counselor 501 Bishop Ln N, Mobile, AL 36608-5821 2018-12-20

Office Location

Street Address 1670 CLAIRMONT ROAD
ATLANTA VA MEDICAL CENTER
City DECATUR
State GA
Zip Code 30033

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265430458 James F. Lawrence Nurse Practitioner 1670 Clairmont Road, Atlanta Vamc, Decatur, GA 30033 2005-07-12
1063027142 Emily Kate Feibelman Audiologist 1670 Clairmont Road, Audiology Clinic (126), Decatur, GA 30033 2020-09-15
1831622158 Manju Cibi Nurse Practitioner 1670 Clairmont Road, Atlanta Vamc, Decatur, GA 30033 2017-04-04
1255752952 Vicki Genelle Fisher Social Worker 1670 Clairmont Road, Decatur, GA 30033 2013-12-23
1629326863 Margaret Hoover Mcbride Registered Nurse 1670 Clairmont Road, Atlanta Va Medical Center, Decatur, GA 30033 2012-08-20
1811219660 Sherrill A Murad Podiatrist 1670 Clairmont Road, Decatur, GA 30033 2010-02-22
1033357280 Elizabeth Anderson Farmer Speech-Language Pathologist 1670 Clairmont Road, Atlanta Va Medical Center, Decatur, GA 30033-9819 2009-01-27
1043457039 Nakkia May Social Worker 1670 Clairmont Road, Decatur, GA 30033-4004 2009-01-13
1194903856 Amy Miller Hospitalist 1670 Clairmont Road, Decatur, GA 30033 2008-02-05
1669656039 Julie Diane Elizabeth Jackson-murphy Hospitalist 1670 Clairmont Road, Decatur, GA 30033 2007-12-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922613785 Healing Minds, Helping Hearts, LLC Social Worker 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 2020-09-09
1700412517 Delana Finney Orthotist Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 2020-03-13
1194389353 Katherine Serafen Physician Assistant 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 2019-04-23
1194290973 Suzanne Johnson Psychologist Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 2018-10-09
1245705334 Mcleod Counseling Services, LLC Clinic/Center 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 2018-10-04
1225514797 Erkin Mirkhatovich Turganov Pharmacist 2951 Cedar Brook Dr, Decatur, GA 30033 2018-07-17
1356834972 Sharlencia Lord Nurse Practitioner 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 2018-06-08
1194213140 Zacarias Yanis Jr. Clinical Neuropsychologist 1276 Mcconnell Drive Ste C., Decatur, GA 30033 2018-04-25
1780181370 Ryan Patton Orthopaedic Surgery 2723 Hollywood Dr, Decatur, GA 30033 2018-04-10
1437669751 Sholanda D Hooper Nurse Practitioner 1601 Clairmont Rd, Decatur, GA 30033 2017-10-02
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598098949 Lynyetta G Willis Psychologist 308 Clairemont Ave, Decatur, GA 30030-2506 2009-09-16
1619177409 Shirley Jean Jordan Psychologist 506 N Miller St, Decatur, TX 76234-1114 2007-07-20
1245285295 Mark Jacob Psychologist 801 Church Street, Suite 1, Decatur, AL 35602 2006-05-24
1952393308 Michal Ann O'leary Psychologist 1945 Mason Mill Rd, Suite 100, Decatur, GA 30033-4006 2005-08-20
1548269418 Cynthia Kay Valley Psychologist 1549 Clairmont Rd, Suite 108, Decatur, GA 30033-4639 2005-07-21
1841807591 Mallorie Gayle Carroll Psychologist 1670 Clairmont Rd, Decatur, GA 30033-4004 2020-09-28
1164036570 Rachel Heatherly Psychologist 1670 Clairmont Rd, Decatur, GA 30033-4004 2020-09-02
1033462486 Karuna Counseling, Inc. Psychologist 1945 Mason Mill Rd Ste 100, Decatur, GA 30033-4075 2012-10-23
1093087876 Kathryn Ganske Psychologist 1549 Clairmont Rd, Suite 108, Decatur, GA 30033-4639 2012-02-08
1073807608 Alaycia Deneen Reid Psychologist 315 W Ponce De Leon Ave, Decatur Court, Suite 552, Decatur, GA 30030-2400 2011-05-31
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Competitor

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City DECATUR
Zip Code 30033

Improve Information

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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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