DR. TATIA PATRICE JACKSON (NPI# 1538708268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538708268 |
| Entity Type | Individual |
| Full Name | DR. TATIA PATRICE JACKSON |
| Credential | PHD |
| Practice Address |
3448 Pinehill Dr Decatur GA 30032-3031 |
| Practice Telephone | 4147328636 |
| Mailing Telephone | 4147328636 |
| Enumeration Date | 2019-12-28 |
| Last Update Date | 2019-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372500000X | Chore Provider | GA | Nursing Service Related Providers | |
| N | 372600000X | Adult Companion | GA | Nursing Service Related Providers | |
| N | 374U00000X | Home Health Aide | GA | Nursing Service Related Providers | |
| N | 376J00000X | Homemaker | GA | Nursing Service Related Providers |
| Street Address |
3448 PINEHILL DR |
| City | DECATUR |
| State | GA |
| Zip Code | 30032-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028078 | Anchor Home Healthcare Services, Inc. | Community/Behavioral Health | 3717 Elkridge Drive, Decatur, GA 30032 | 2020-03-19 |
| 1578959201 | Trusted Nurses | Nursing Care | 1959 Barberrie Ln, Decatur, GA 30032 | 2015-04-09 |
| 1225436751 | God's Helper's Private Home Care, LLC | In Home Supportive Care | 1916 Willa Dr, Decatur, GA 30032 | 2014-12-16 |
| 1366878712 | Teresa A Johnson | Counselor | 1585 Cobbs Creek Lane, Decatur, GA 30032 | 2013-09-17 |
| 1629213590 | Curlen L Baird-scott | Registered Nurse | Child and Adolescent Stabilization Unit, 2591 Candler Road, Decatur, GA 30032 | 2008-12-08 |
| 1659527919 | Louis Aaron Calderon | Psychiatry & Neurology | 3408 Covington Highway, Georgia Department of Juvenile Justice, Decatur, GA 30032 | 2008-08-18 |
| 1932387982 | Turning Point Behavioral Health and Wellness Center | Community/Behavioral Health | 4292 Memorial Drive Suite C, Decatur, GA 30032 | 2008-02-01 |
| 1528190865 | Jennifer Weeks Kaufman | Speech-Language Pathologist | 1441 Clifton Road Ne, Atlanta, GA 30032 | 2007-03-12 |
| 1093847147 | Mary Sprague | Speech-Language Pathologist | 1441 Clifton Road North East, Atlanta, GA 30032 | 2007-03-12 |
| 1356479976 | Julie Witten | Speech-Language Pathologist | 1441 Clifton Road, N.e., Atlanta, GA 30032 | 2007-03-02 |
| Find all providers in zip 30032 | ||||
| Taxonomy Code | 372500000X |
| Grouping | Nursing Service Related Providers |
| Classification | Chore Provider |
| An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492568 | Atrailus Healthcare Inc | Chore Provider | 2453 Powder Springs Rd Sw Ste 325w, Marietta, GA 30064-4570 | 2020-09-17 |
| 1598379547 | Laquietta Christina Keller | Chore Provider | 4503 Reese Rd Apt 205, Columbus, GA 31907-1179 | 2020-09-06 |
| 1265069256 | Three Rivers Housing and Development Corporation | Chore Provider | 326 W. 9th St, Rome, GA 30161 | 2020-03-27 |
| 1619531936 | Ileha M Clark | Chore Provider | 152 New St Ste 103m, Macon, GA 31201-7304 | 2019-04-23 |
| 1285101071 | Valerie Rena Bickham | Chore Provider | 1259 Bismarck Drive, Columbus, GA 31907 | 2018-10-30 |
| 1376028944 | Anthony Mark Crossley | Chore Provider | 4321 S Lee St, Buford, GA 30518-5776 | 2018-09-30 |
| 1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
| 1033516091 | Mary Finch | Chore Provider | 2970 Walt Stephens Rd, Jonesboro, GA 30236-4118 | 2014-11-19 |
| 1639509920 | Priscilla Jane Thompson | Chore Provider | 229 Deep South Rd, Senoia, GA 30276 | 2013-11-22 |
| 1124467113 | Geoffrey Phiri | Chore Provider | 1980 Evergreen Dr, Austell, GA 30106-2016 | 2013-06-23 |
| 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.