NICOLE LEWIS JACKSON (NPI# 1205999588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205999588 |
| Entity Type | Individual |
| Full Name | NICOLE LEWIS JACKSON |
| Credential | DDS |
| Practice Address |
3298 Northside Dr Macon GA 31210 |
| Practice Telephone | 4784751976 |
| Practice Fax Number | 4784751946 |
| Mailing Telephone | 4784751976 |
| Mailing Fax Number | 4784751946 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12511 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699184689 | Nicole Jackson | Specialist | 3983 Thunder Heights Ln, Middleburg, FL 32068-7362 | 2014-08-05 |
| 1053745521 | Nicole L Jackson | Counselor | 3394 Mckelvey Rd Ste 116, Bridgeton, MO 63044-2531 | 2013-09-02 |
| 1245569276 | Nicole Denise Jackson | Licensed Practical Nurse | 2122 Ridge Rd W, Rochester, NY 14626-2802 | 2009-12-22 |
| 1144559931 | Nicole L Jackson | Licensed Practical Nurse | 18680 Main Street, Tontogany, OH 43565 | 2009-12-08 |
| 1144489261 | Nicole L. Jackson | Counselor | 6815 W Capitol Dr Ste 304, Milwaukee, WI 53216-2056 | 2008-06-04 |
| 1124299680 | Nicole Jackson | Licensed Practical Nurse | 1830 Southern Pkwy, Springfield, OH 45506-3115 | 2008-03-12 |
| 1578740023 | Nicole Jackson | Counselor | 3630 George Washington Hwy, Ste B-6, Yorktown, VA 23693 | 2008-01-28 |
| 1104447275 | Nicole Feliz Jackson | Specialist/Technologist | 1301 S Us Highway 377, Argyle, TX 76226-7744 | 2020-04-30 |
| 1023637220 | Nicole Jackson | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-04-09 |
| 1609405539 | Nicole Yvonne Jackson | Licensed Practical Nurse | 15 Frederick Ave, Akron, OH 44310-2904 | 2020-04-03 |
| Street Address |
3298 NORTHSIDE DR |
| City | MACON |
| State | GA |
| Zip Code | 31210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417106873 | Northside Family Dentistry | Dentist | 3298 Northside Dr, Macon, GA 31210-2553 | 2008-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598267239 | Folarera Olanike Ajose-adeogun | Dentist | 5005 Riverside Dr Unit A, Macon, GA 31210-1121 | 2018-03-07 |
| 1235683285 | John Felix Mash Jr. | Dentist | 128 Wolf Creek Dr N, Macon, GA 31210-9001 | 2016-08-08 |
| 1134568777 | John Norman Bowman Sr. | Dentist | 760 Tufthunter, Macon, GA 31210 | 2013-06-17 |
| 1801134135 | Valerie W Ambrose | Dentist | 160 Pierce Ave, Macon, GA 31204-2871 | 2013-01-22 |
| 1528314853 | Harvey Steven Zion | Dentist | 3300 Macon Tech Dr, Bldg J, Macon, GA 31206-3628 | 2012-07-24 |
| 1740543776 | Clark General Dentistry Center, P.C. | Dentist | 1918 Forsyth St, Macon, GA 31201-1144 | 2012-06-25 |
| 1134441652 | Loretto Madeleine Grier-cudjoe | Dentist | 1625 Jeffersonville Rd, Macon, GA 31217-4342 | 2010-02-25 |
| 1770741704 | Charles Edward Smaha | Dentist | 151 Pierce Ave, Macon, GA 31204-2821 | 2008-05-27 |
| 1447458856 | Paul Jason Mann | Dentist | 225 North Macon St., Macon, GA 31210 | 2007-07-06 |
| 1447451612 | Larry Edward Landers | Dentist | 155 College St, Suite 2, Macon, GA 31201-7206 | 2007-05-29 |
| Find all providers in MACON | ||||
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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.