ANITA LOUISE JACKSON


Address: 4315 Ludgate St, Lumberton, NC 28358-2460
Phone: 9107381919

ANITA LOUISE JACKSON (NPI# 1346286010) 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) 1346286010
Entity Type Individual
Full Name ANITA LOUISE JACKSON
Credential M.D.
Practice Address 4315 Ludgate St
Lumberton
NC 28358-2460
Mailing Address Po Box 1046
Lumberton
NC 28359-1046
Practice Telephone 9107381919
Practice Fax Number 9107381991
Mailing Telephone 9107381919
Mailing Fax Number 9107381991
Enumeration Date 2006-06-21
Last Update Date 2010-12-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 9700991 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 892015Y 05
NC UNITEDHEALTH CARE 103883 01
NC BCBS 0215Y 01
NC RAILROAD MEDICARE 040013091 01

Other Providers ANITA JACKSON

NPI Name Taxonomy Address Enumeration
1861059487 Anita Rikki Jackson Behavioral Analyst 14420 W Side Blvd Apt 310, Laurel, MD 20707-6271 2019-05-20
1134699481 Anita Dionne Jackson In Home Supportive Care 29 Baltimore Ln, Palm Coast, FL 32137-8851 2018-11-29
1699273789 Anita Ann Jackson Registered Nurse 2853 Webb Ave Bronx Ny 10468, Bronx, NY 10468-2154 2018-01-24
1497285209 Anita Johnson Jackson Case Manager/Care Coordinator 3204 N Ridge Rd, Tallahassee, FL 32305 2017-06-14
1548594831 Anita K. Jackson Chiropractor 2505 Troy Pike, Versailles, KY 40383-9646 2009-09-21
1851785620 Anita Denise Jackson Social Worker 9315 Telegraph Rd, Redford, MI 48239-1260 2015-03-19
1992125199 Anita June Jackson Registered Nurse 680 S 4th St, Louisville, KY 40202-2407 2014-04-26
1366637993 Anita Irene Jackson Social Worker 2311 Loveridge Rd, Pittsburg, CA 94565-5117 2007-09-06
1679620652 Anita P Jackson Counselor 573 Brookover Ave, Zanesville, OH 43701-2101 2007-01-04
1063519486 Anita Cal Jackson Family Medicine 44274 George Cushman Ct Ste 212, Temecula, CA 92592-5945 2006-09-20

Office Location

Street Address 4315 LUDGATE ST
City LUMBERTON
State NC
Zip Code 28358-2460

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821179037 Greater Carolina Ear Nose &throat P.a. Clinic/Center 4315 Ludgate St, Lumberton, NC 28358-2460 2006-10-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649812397 Monarch Community/Behavioral Health 13128 Serenity Street, Huntersville, NC 28358 2019-10-15
1114577194 Lashonda Patrice Bostic Social Worker 4719 Fayetteville Road, Lumberton, NC 28358 2019-09-12
1780232389 Rosaline Whittington Technician 39 Sibley Road, Lumberton, NC 28358 2019-08-28
1790343168 Emily Graham Social Worker 401 S. 27th Street, Lumberton, NC 28358 2019-05-31
1316420722 Karen Lynn Warwick Nurse Practitioner 600 Farringdom St # Ab, Lumberton, NC 28358 2018-09-11
1982184149 Virginia Feldick Hampton Speech-Language Pathologist Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 2018-08-17
1366941882 Ashlynn Faircloth Mckeithan Occupational Therapist 210 Liberty Hill Road, Lumberton, NC 28358 2018-02-10
1992153506 Matthew Mercer Nurse Anesthetist, Certified Registered 2703 Riverwood Ave, Lumberton, NC 28358 2016-05-25
1295100964 Chosen Health Care Services Inc In Home Supportive Care 705b Wesley Pines Road, Lumberton, NC 28358 2015-12-07
1346626173 Brittany Renea Chavis Social Worker 888 Wire Grass Road, Lumberton, NC 28358 2015-08-04
Find all providers in zip 28358

Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699014191 Southeastern Regional Physician Services Otolaryngology 4303 Ludgate St, Lumberton, NC 28358-2460 2013-02-05
1447218383 Edward B. Ermini, Md Pa Otolaryngology 4303 Ludgate St, Lumberton, NC 28358-2460 2006-05-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528605888 Inbal Hazkani Bendror Otolaryngology 1217 Mossy Glade Cir, Apex, NC 27502-4874 2019-12-05
1174183156 Queen City Ear Nose and Throat Pllc Otolaryngology 8924 Blakeney Professional Dr, Charlotte, NC 28277-6660 2019-06-20
1194244012 Ethan Staats Otolaryngology 391 Heaton Forest Rd, Cashiers, NC 28717 2017-09-12
1528423068 Charlotte Eye Ear Nose & Throat Associates, Pa Otolaryngology 149 Plantation Ridge Drive, Suite 190, Mooresville, NC 28117-9178 2015-12-29
1598151763 Adam Richard Gigliotti Otolaryngology 400 E Stonewall St, Charlotte, NC 28202-3601 2015-04-14
1891112389 Marshall Snow Otolaryngology 109 Piedmont Ave, Winston Salem, NC 27101-3607 2014-03-24
1073937942 John Monroe Otolaryngology 525 Hardee Branch Rd, West End, NC 27376-8961 2014-02-12
1457794893 Candace Mitchell Waters Otolaryngology 170 Manning Drive Campus Box #7070, Chapel Hill, NC 27599-4216 2013-04-16
1457794927 Amanda Jo Lott Marcellino Otolaryngology 1132 N Church St Ste 200, Greensboro, NC 27401 2013-04-15
1710320510 Nicolas-george Katsantonis Otolaryngology 4600 Lake Boone Trl Ste 100, Raleigh, NC 27607 2013-04-10
Find all providers with the same taxonomy

Competitor

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City LUMBERTON
Zip Code 28358

Improve Information

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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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