DR. RENEKA L DOBBS-JACKSON


Address: 420 E 2nd Ave Ste 103, Rome, GA 30161
Phone: 7065093000

DR. RENEKA L DOBBS-JACKSON (NPI# 1134310147) 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) 1134310147
Entity Type Individual
Full Name DR. RENEKA L DOBBS-JACKSON
Other Name RENEKA L DOBBS
Credential MD
Practice Address 420 E 2nd Ave Ste 103
Rome
GA 30161
Mailing Address 420 E 2nd Ave Ste 103
Rome
GA 30161-3210
Practice Telephone 7065093000
Mailing Telephone 7065093000
Enumeration Date 2007-08-05
Last Update Date 2018-09-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 064770 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 754116853C 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1480 S Highway 27, Carrollton, GA 301178901 7708129445
420 E 2nd Ave Ste 103, Rome, GA 30161 7065093000

Office Location

Street Address 420 E 2ND AVE STE 103
City ROME
State GA
Zip Code 30161

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154801017 Lindsay Moates Nurse Practitioner 420 E 2nd Ave Ste 103, Rome, GA 30161-3210 2018-08-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265069256 Three Rivers Housing and Development Corporation Chore Provider 326 W. 9th St, Rome, GA 30161 2020-03-27
1144865957 Eric Alan Fuller Audiologist-Hearing Aid Fitter 700 East 2nd Street, Suite C, Rome, GA 30161 2019-11-15
1003394883 Cindy V Shelton Health Educator 204 E 1st Ave, Rome, GA 30161 2018-08-02
1083153597 Julie Oglesby Allen Counselor 1 S Broad St Sw Ste 5, Rome, GA 30161 2017-02-16
1902299530 Michael Thomas Phillips Pharmacist 2005 Maple Street, Rome, GA 30161 2015-03-06
1407259112 Angela Smith Community/Behavioral Health 109 John Maddox Suite 200, Rome, GA 30161 2014-10-08
1215344379 Nancy Patel Pharmacist 1421 North Broad St, Rome, GA 30161 2014-07-21
1821336629 Wendy Pence Nurse Practitioner 3001 Turner Mccall Blvd, Rome, GA 30161 2013-01-29
1558526202 Marilyn Teresa Ringstaff Registered Nurse 1513 Dean St., Rome, GA 30161 2008-07-22
1295931335 Alice Harrison Williams Counselor 412 East 1st Street, Rome, GA 30161 2007-06-25
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447602347 Tobias Jakobus Wallbrecher Family Medicine Via Domenico Silveri 30, Rome, ITALY 00165 2016-07-05
1346648250 Free Clinic of Rome Georgia Inc Family Medicine 101-b John Maddox Drive, Rome, GA 30165-1419 2014-12-09
1285927491 Amanda Fischer Reeves Family Medicine 304 Shorter Ave Nw Ste 102, Rome, GA 30165 2011-05-20
1164745782 Michael S. Jackson, Md, PC Family Medicine 701 E 2nd Ave Sw, Suite C, Rome, GA 30161-6148 2010-03-10
1477723120 Michael Edward Gonsalves Family Medicine 4159 Martha Berry Hwy Nw, Rome, GA 30165-7705 2008-03-10
1013108661 Alexis Ann Eckard Family Medicine 255 W 5th Street, Suite 300, Rome, GA 30165 2007-08-08
1265502926 Thomas H. Pierzchala, M.d., P.C. Family Medicine 304a E 2nd Ave, Rome, GA 30161-3222 2006-11-09
1023198066 Camille Dillard Do Health & Wellness PC Family Medicine 900 Erie Blvd W, Rome, NY 13440-2904 2006-10-16
1063504710 Cheryl Reinhardt Family Medicine 5865 New Calhoun Hwy Ne, Rome, GA 30161-8253 2006-09-29
1619086857 S. T. Moss, M.d., P.C. Family Medicine 2016 Redmond Cir Nw, Rome, GA 30165-1322 2006-08-30
Find all providers in ROME

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City ROME
Zip Code 30161

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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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