PAUL D JACKSON (NPI# 1053322974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053322974 |
| Entity Type | Individual |
| Full Name | PAUL D JACKSON |
| Credential | MD |
| Practice Address |
508 Arnold Ave Greenville MS 38701-5319 |
| Mailing Address |
Po Box 23998 Jackson MS 39225-3998 |
| Practice Telephone | 6623354000 |
| Practice Fax Number | 6623323867 |
| Mailing Telephone | 6627252749 |
| Mailing Fax Number | 6627252741 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 09542 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1528005 | 05 | |
| MS | 00011234 | 05 | |
| RR MEDICARE | P00386728 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477112522 | Paul A Jackson | Psychologist | 459 W Macarthur Blvd, Oakland, CA 94609-2808 | 2019-06-12 |
| 1114422599 | Paul Jackson | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Gme, Corpus Christi, TX 78404 | 2018-03-27 |
| 1639435019 | Paul Jackson | Adult Companion | 2229 Pueblo Dr, Garland, TX 75040-4328 | 2012-04-10 |
| 1609005172 | Paul A Jackson Jr. | Counselor | 5117 Andrea Blvd, Suite 86, Sacramento, CA 95842-2518 | 2009-07-06 |
| 1467688564 | Paul S. Jackson | Student in an Organized Health Care Education/Training Program | 26 South 200 East, Suite 5900, Salt Lake City, UT 84112 | 2009-06-03 |
| 1043462815 | Paul Jackson | Driver | 34401 Calgary Ter, Fremont, CA 94555-2916 | 2008-10-10 |
| 1154435899 | Paul Thomas Jackson Jr. | Internal Medicine | 4550 Lamar Ave, Suite 200, Paris, TX 75462-5124 | 2006-08-19 |
| 1053330704 | Paul Maurice Jackson | Internal Medicine | 20271 Merrick Dr, Saratoga, CA 95070-4960 | 2006-07-19 |
| 1598706855 | Paul Brian Jackson | Optometrist | 6825 Parker Farm Dr, Wilmington, NC 28405-3168 | 2006-06-09 |
| 1942290606 | Paul Dennis Jackson | Psychiatry & Neurology | 2065 21st St Se Apt O, Hickory, NC 28602-3479 | 2005-10-25 |
| Street Address |
508 ARNOLD AVE |
| City | GREENVILLE |
| State | MS |
| Zip Code | 38701-5319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811016827 | Delta Physician Practices | Obstetrics & Gynecology | 508 Arnold Ave, Greenville, MS 38701-5319 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851882328 | G & M Transportation LLC | Non-emergency Medical Transport (VAN) | 1525 South Dr. Mlk Dr, Suite E, Greenville, MS 38701 | 2018-05-21 |
| 1528564143 | Gyton Brijjetta Williams | Nurse Practitioner | 1400 East Union Street, Greenville, MS 38701 | 2018-04-03 |
| 1225552557 | Stephanie Epley | Counselor | 365 West Reed Rd Ste A-1, Greenville, MS 38701 | 2017-07-28 |
| 1861943425 | Roderick Montgomery | Non-emergency Medical Transport (VAN) | 537 Patricia Dr, Greenville, MS 38701 | 2016-10-19 |
| 1649694183 | Denise Wright | Nurse Practitioner | 1746-c Ms State Hwy 1 South, Greenville, MS 38701 | 2014-02-04 |
| 1174953525 | Sharkey-issaquena Adult Daycare | Psychologist | 449 Oakland Drive, Greenville, MS 38701 | 2013-11-21 |
| 1881953198 | New Hope Prosthetics & Orthodics Inc | Prosthetic/Orthotic Supplier | 585 Tennessee Gas Rd, Greenville, MS 38701 | 2012-05-07 |
| 1306139928 | Delta Regional Medical Center | Psychiatric Hospital | 300 South Washington Ave., Greenville, MS 38701 | 2011-05-17 |
| 1730305871 | First Choice Home Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 428 Highway 82 East, Greenville, MS 38701 | 2007-04-17 |
| 1750435301 | Greg Heath Hairston | Chiropractor | 871 Hwy 1 South, Greenville, MS 38701 | 2007-01-22 |
| Find all providers in zip 38701 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1396298725 | Highlands Center for Women, P.a. | Obstetrics & Gynecology | 369 Halton Rd, Greenville, SC 29607-3405 | 2016-08-02 |
| 1073872594 | Brianna Whittemore | Obstetrics & Gynecology | 777 Lowndes Hill Rd, Greenville, SC 29607-2101 | 2012-05-04 |
| 1952692857 | Oussama Ahmad Saleh | Obstetrics & Gynecology | 1025 Spring Forest Rd, E6, Greenville, NC 27834-4986 | 2011-04-26 |
| 1184939670 | Samata Mcclure | Obstetrics & Gynecology | 3506 Kennett Pike Ste 100, Greenville, DE 19807-3019 | 2010-08-09 |
| 1528379054 | Rebecca Cori Rinko | Obstetrics & Gynecology | Bon Secours Urogynecology, 2 Innovation Drive, Ste 180, Greenville, SC 29607-5265 | 2010-06-30 |
| 1083940084 | Laurel Center for Women, LLC | Obstetrics & Gynecology | 10 Enterprise Blvd Ste 210, Greenville, SC 29615-3554 | 2009-10-26 |
| 1700041357 | Laurel Gynecology, Obstetrics & Infertility, Pa | Obstetrics & Gynecology | 511 W Butler Rd, Greenville, SC 29607-4833 | 2008-07-23 |
| 1588824916 | Edgar Smith Douglas II | Obstetrics & Gynecology | 204 Hampton Cir, Greenville, NC 27858-8936 | 2008-06-10 |
| 1689849119 | Jack A Mcneil | Obstetrics & Gynecology | 6 Orchard Pl, Greenville, MS 38701-8045 | 2008-04-25 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 38701 |
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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.