DR JOE A JACKSON, MD PLLC (NPI# 1114398427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114398427 |
| Entity Type | Organization |
| Organization Name | DR JOE A JACKSON, MD PLLC |
| Practice Address |
224 E Garden St Suite 5b Box J16 Pensacola FL 32502-6068 |
| Practice Telephone | 8504691330 |
| Practice Fax Number | 8504691554 |
| Mailing Telephone | 8504691330 |
| Mailing Fax Number | 8504691554 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |
| Authorized Official Name | DR. JOE A JACKSON (OWNER) |
| Authorized Official Telephone | 8504691330 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
85613 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00013024 | 05 |
| Street Address |
224 E GARDEN ST SUITE 5B BOX J16 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32502-6068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275199762 | Anita Kay Morris | Marriage & Family Therapist | 25 W Cedar St Ste 205, Pensacola, FL 32502 | 2019-05-10 |
| 1013409028 | Everydaydoctor Inc | Internal Medicine | 13 Palafox Pl Ste 200, Pensacola, FL 32502 | 2018-06-05 |
| 1780119115 | Felisha Palmer | Nurse's Aide | 619 W Gregory St Apt A, Pensacola, FL 32502 | 2017-04-24 |
| 1619428257 | Young Men's Christian Association of Northwest Florida, Inc. | Health Educator | 165 E.intendencia Street, Pensacola, FL 32502 | 2016-10-19 |
| 1972968386 | Lauren Reeves | Counselor | 435 E Zarragossa St, Pensacola, FL 32502 | 2015-12-30 |
| 1902202492 | Amabel Arquillano | Physical Therapist | 600 West Gregory Street, Pensacol, FL 32502 | 2014-11-10 |
| 1639579568 | Community Experiences LLC | Home Health | 321 N Devillers St Suite 221, Pensacola, FL 32502 | 2014-08-28 |
| 1831523612 | Our Lady of Angels, St. Joseph Medical Clinic, Inc | Clinic/Center | 131 W. Intendencia St., Pensacola, FL 32502 | 2013-08-28 |
| 1295013266 | Sabrina Gail Evans | Family Medicine | 236 West Garden Street, Pensacola, FL 32502 | 2011-07-25 |
| 1356538771 | Optum Infusion Services 204, Inc. | Pharmacy | 201 N. Tarragona Street, Pensacola, FL 32502 | 2007-09-30 |
| Find all providers in zip 32502 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427346766 | Joseph Allen Cahill | Psychiatry & Neurology | Naval Hospital 6000 West Highway 98, Pensacola, FL 32512-0001 | 2011-07-20 |
| 1831210392 | Keena Colleen Risola | Psychiatry & Neurology | 1717 N E St Ste 208, Pensacola, FL 32501-6336 | 2007-04-03 |
| 1881676419 | James David Torrisi | Psychiatry & Neurology | Covenant Hospice, 2001 N. Palafox Street, Pensacola, FL 32501 | 2005-11-18 |
| 1811989346 | Henry Olin Porter IIi | Psychiatry & Neurology | 1110 Airport Blvd, Suite B, Pensacola, FL 32504 | 2005-08-19 |
| 1003136987 | Ethan Mccaleb Gore | Psychiatry & Neurology | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2010-06-02 |
| 1730339912 | Amy K Sullivan | Psychiatry & Neurology | 5153 N 9th Ave, Suite 404, Pensacola, FL 32504-8785 | 2008-09-24 |
| 1609901487 | Lawrence King IIi | Psychiatry & Neurology | 5153 N 9th Ave, Suite 300, Pensacola, FL 32504-8785 | 2007-02-22 |
| 1386780302 | Kiumars E. Shams | Psychiatry & Neurology | 101 S Jefferson St, Suite C, Pensacola, FL 32502-5656 | 2007-01-29 |
| 1164595427 | John Axley | Psychiatry & Neurology | 4400 Bayou Blvd Ste 43, Pensacola, FL 32503-1910 | 2006-11-16 |
| 1912070293 | John Axley M D P A | Psychiatry & Neurology | 4400 Bayou Blvd Ste 43, Pensacola, FL 32503-1910 | 2006-11-16 |
| Find all providers in PENSACOLA | ||||
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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.