JACKSON WALTERS (NPI# 1124274733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124274733 |
| Entity Type | Individual |
| Full Name | JACKSON WALTERS |
| Credential | MD |
| Practice Address |
670 Leigh Dr Columbus MS 39705-3014 |
| Practice Telephone | 6623281012 |
| Practice Fax Number | 6623281507 |
| Mailing Telephone | 6623281012 |
| Mailing Fax Number | 6623281507 |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2019-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
22184 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07800068 | 05 |
| Street Address |
670 LEIGH DR |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39705-3014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740287374 | The Columbus Orthopaedic Clinic, P.a. | Orthopaedic Surgery | 670 Leigh Dr, Columbus, MS 39705-3014 | 2005-06-28 |
| 1639657604 | Jodi B Clements | Physician Assistant | 670 Leigh Dr, Columbus, MS 39705-3014 | 2018-08-01 |
| 1275057838 | Meagan Gill | Physical Therapist | 670 Leigh Dr, Columbus, MS 39705-3014 | 2017-07-26 |
| 1508310616 | Jennifer Cooper | Physical Therapist | 670 Leigh Dr, Columbus, MS 39705-3014 | 2016-08-05 |
| 1912361353 | Sarah Williams | Specialist/Technologist | 670 Leigh Dr, Columbus, MS 39705-3014 | 2016-04-12 |
| 1316319353 | Whitney Whiteside Abraham | Nurse Practitioner | 670 Leigh Dr, Columbus, MS 39705-3014 | 2015-10-29 |
| 1689043143 | Brandon Whitmire | Physical Therapy Assistant | 670 Leigh Dr, Columbus, MS 39705-3014 | 2015-09-15 |
| 1235506668 | Lauren M Wood | Nurse Practitioner | 670 Leigh Dr, Columbus, MS 39705-3014 | 2015-09-02 |
| 1831574888 | Billy Chandler | Nurse Practitioner | 670 Leigh Dr, Columbus, MS 39705-3014 | 2015-07-20 |
| 1407235542 | Peyton Fandel | Physical Therapist | 670 Leigh Dr, Columbus, MS 39705-3014 | 2015-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255854527 | Kelly Christi Lovelace | Counselor | 428 24th Ave. North, Columbus, MS 39705 | 2017-07-19 |
| 1427505742 | National Vision, Inc. | Technician/Technologist | Bldg 160 Simler Blvd, Columbus, MS 39705 | 2016-09-02 |
| 1093165714 | Holly Murphy | Audiologist | 2430 4th Street North, Columbus, MS 39705 | 2016-06-14 |
| 1275951972 | Oleg Kalsow | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705 | 2014-03-31 |
| 1982906509 | Gtrec, Inc. | Optometrist | 1913 Hwy. 45 N., Suite A, Columbus, MS 39705 | 2010-12-02 |
| 1295042919 | Emily Morgan Sesser | Nurse Practitioner | 4508 Hwy 45 N, Columbus, MS 39705 | 2010-09-01 |
| 1528298189 | Matthew Duane Williams | Internal Medicine | 2520 Fifth Street, North, Columbus, MS 39705 | 2009-07-16 |
| 1114156858 | Andrea Nicole Morris | Pediatrics | 2600 Fifth Street North, Columbus, MS 39705 | 2009-07-02 |
| 1124272307 | Paul J Scurti | Internal Medicine | 255 Baptist Blvd Ste 301, Columbus, MS 39705 | 2008-11-13 |
| 1073702171 | Heart To Heart Hospice of Columbus LLC | Hospice Care, Community Based | 2018 Hwy 45 N, Columbus, MS 39705 | 2007-10-15 |
| Find all providers in zip 39705 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790126084 | Hurricane Pain Management LLC | Anesthesiology | 174 Lake Bluff Dr, Columbus, OH 43235-4671 | 2013-07-15 |
| 1669500229 | Advanced Pain Management Surgery,inc | Anesthesiology | 4010 W Goeller Blvd, Suite C, Columbus, IN 47201-8892 | 2007-03-02 |
| 1346322179 | Richard Andrew Robertson | Anesthesiology | 2400 North Park, Suite 20, Columbus, IN 47203-4467 | 2006-10-20 |
| 1659303485 | Marcus Karlan Parker | Anesthesiology | 109 Shult Dr Ste 200, Columbus, TX 78934-3015 | 2006-07-06 |
| 1346296621 | Gladstone C Mcdowell II | Anesthesiology | 1210 Gemini Pl, Ste 300, Columbus, OH 43240-6109 | 2006-05-26 |
| 1366923898 | Premier Pain Solutions Pllc | Anesthesiology | 155 W Mills St Ste 204, Columbus, NC 28722-9462 | 2018-08-23 |
| 1427544667 | Capitol Pain of Ohio, LLC | Anesthesiology | 50 W Broad St Ste 1330, Columbus, OH 43215 | 2018-07-10 |
| 1568747731 | Columbus Spine Specialists LLC | Anesthesiology | 440 Industrial Mile Rd, Columbus, OH 43228-2411 | 2011-10-19 |
| 1255659256 | Adam Wayne Farris | Anesthesiology | 410 W 10th Ave, Columbus, OH 43210-1240 | 2010-05-14 |
| 1891937934 | Jeffrey Robert Prinsell Jr. | Anesthesiology | 7351 Old Moon Rd, Columbus, GA 31909-7291 | 2009-04-06 |
| Find all providers in COLUMBUS | ||||
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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.