MR. JACKIE JOE ALSTON JR. (NPI# 1437454824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437454824 |
| Entity Type | Individual |
| Full Name | MR. JACKIE JOE ALSTON JR. |
| Practice Address |
1110 Earls St Gallatin TN 37066-3912 |
| Practice Telephone | 6155787705 |
| Mailing Telephone | 6155787705 |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2011-01-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
2918 | TN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1110 EARLS ST |
| City | GALLATIN |
| State | TN |
| Zip Code | 37066-3912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748235 | Results-ast Jv, LLC | Physical Therapist | 110 St. Blaise Road, Suite 101, Gallatin, TN 37066 | 2020-10-21 |
| 1306445531 | Results-ast Jv, LLC | Physical Therapist | 132 North Belvedere Dr, Gallatin, TN 37066 | 2020-10-19 |
| 1063065969 | Tennessee Dental Professionals PC | Dentist | 2069 Nashville Pike, Gallatin, TN 37066 | 2019-07-19 |
| 1912478108 | Jason Holland | Psychologist | 106 Public Sq Ste 105, Gallatin, TN 37066 | 2018-12-16 |
| 1619463148 | Perkins Greenlea LLC | Pharmacy | 879 Greenlea Blvd, Suite 101, Gallatin, TN 37066 | 2018-07-09 |
| 1316432792 | Ann Elizabeth Willert | Counselor | 322 Sumner Hall Drive, Gallatin, TN 37066 | 2018-06-27 |
| 1255852661 | Samantha Jo Kelly | Dentist | 1710 Nashville Pike # 102, Gallatin, TN 37066 | 2017-07-06 |
| 1265880470 | Mallory Jane Hackbarth | Dentist | 923 Nashville Pike A, Gallatin, TN 37066 | 2016-05-27 |
| 1124493697 | Jennifer Stroud | Counselor | 273 Big Station Camp Blvd, 30-206, Gallatin, TN 37066 | 2015-12-09 |
| 1982075651 | Lacefield Enterprises, Inc | Speech-Language Pathologist | 1010 Broughton Place, Gallatin, TN 37066 | 2015-10-07 |
| Find all providers in zip 37066 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092872 | Juan Carlos Zuluaga Bedoya | Specialist/Technologist, Other | 6885 Club Ridge Cir Apt 87, Memphis, TN 38115-7327 | 2020-01-26 |
| 1255802062 | Richard Charles Will Jr. | Specialist/Technologist, Other | 129 Paradise Dr, Hendersonville, TN 37075-4236 | 2018-12-06 |
| 1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
| 1821508094 | Jonathan Burkett | Specialist/Technologist, Other | 1168 Cynthia Ln, Spring Hill, TN 37174-4519 | 2017-10-02 |
| 1104346493 | Joseph Gary Robinson | Specialist/Technologist, Other | 4506 Polaris Dr, Chapelhill, TN 37034-2461 | 2017-06-27 |
| 1912437336 | Karl Robbins | Specialist/Technologist, Other | 8266 Beech Hill Rd, Frankewing, TN 38459-5059 | 2017-06-18 |
| 1659810521 | Lasundra Caslin | Specialist/Technologist, Other | 1711 Ray Jo Cir, Chattanooga, TN 37421-3370 | 2017-02-13 |
| 1902352172 | Jay Patrick Grayson | Specialist/Technologist, Other | 114 E Mcguire St, Bell Buckle, TN 37020-6052 | 2016-08-28 |
| 1033590906 | Robert Michael Frank | Specialist/Technologist, Other | 105 Noble Ct, Murfreesboro, TN 37128-3754 | 2015-06-16 |
| 1366833949 | Amber Cunningham | Specialist/Technologist, Other | 1117 Clift Cave Rd, Soddy Daisy, TN 37379-5706 | 2015-02-18 |
| Find all providers with the same taxonomy | ||||
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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.