JACOB JACKSON (NPI# 1568812683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568812683 |
| Entity Type | Individual |
| Full Name | JACOB JACKSON |
| Practice Address |
2615 Cleveland Hwy Dalton GA 30721-8160 |
| Practice Telephone | 7062705060 |
| Mailing Telephone | 7062705060 |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982162905 | Jacob S Jackson | Physical Therapist | 4110 S Water Tower Pl, Mount Vernon, IL 62864-6544 | 2019-03-08 |
| 1134629405 | Jacob Jackson | Registered Nurse | 1800 W 1st St Ste 105b, Elk City, OK 73644-3133 | 2018-02-13 |
| 1003366329 | Jacob Jerry Jackson | Counselor | 1700 Helmer St, Sioux City, IA 51103-2834 | 2016-10-11 |
| 1114386620 | Jacob Jackson | Chiropractor | 5801 S Fashion Blvd, Suite 210, Murray, UT 84107-6159 | 2016-02-12 |
| 1861832644 | Jacob Jackson | Surgery | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2013-06-26 |
| 1588907240 | Jacob Cole Jackson | Student in an Organized Health Care Education/Training Program | 525 E 68th St, Box 124, New York, NY 10065-4870 | 2013-04-01 |
| 1831316892 | Jacob Anthony Jackson | Family Medicine | 10800 Magnolia Ave, Family Medicine, Riverside, CA 92505-3043 | 2007-04-19 |
| Street Address |
2615 CLEVELAND HWY |
| City | DALTON |
| State | GA |
| Zip Code | 30721-8160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164585550 | Highland Rivers Csb | Community/Behavioral Health | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2006-12-18 |
| 1013491588 | Mary Greenway | Community Health Worker | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2018-09-20 |
| 1639603129 | Mary Beavers | Counselor | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2017-04-12 |
| 1811347933 | Gail Barton | Community Health Worker | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-06-20 |
| 1700232766 | Kristin Anna-marie Burchett | Social Worker | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-05-09 |
| 1659725117 | Jordan Cooper | Case Manager/Care Coordinator | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-04-20 |
| 1467806927 | Jelisa Burse | Case Manager/Care Coordinator | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-04-20 |
| 1568816023 | Amanda Moses | Case Manager/Care Coordinator | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-04-20 |
| 1164897633 | Ray Cook | Counselor | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2015-12-09 |
| 1619342102 | Sarah Moore | Counselor | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2015-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417322942 | Alison Gobel | Case Manager/Care Coordinator | 2611 Clevland Hwy, Dalton, GA 30721 | 2015-12-09 |
| 1528433026 | Crystal Sparks | Case Manager/Care Coordinator | 2611 Cleveland Highway, Dalton, GA 30721 | 2015-12-09 |
| 1043524838 | Quality Care Concepts, Inc. | Durable Medical Equipment & Medical Supplies | 121 Tilton Road, Dalton, GA 30721 | 2010-08-04 |
| 1538490081 | Jennifer Sawyer | Counselor | 720 S. Glenwood Ave, Ste 112, Dalton, GA 30721 | 2010-01-22 |
| 1831210673 | Linda E. Minter | Case Manager/Care Coordinator | 932 Williams Rd. Nw, Dalton, GA 30721 | 2007-04-02 |
| 1265595318 | M Edwin Caylor Dds PC | Dentist | 2880 Cleveland Hwy, Dalton, GA 30721 | 2006-12-19 |
| 1295823003 | Candler Road Dental, PC | Dentist | 2107 E. Walnut Ave., Dalton, GA 30721 | 2006-10-10 |
| 1508872466 | Family Walk-in Clinic | Family Medicine | 1100 E Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-31 |
| 1225056823 | James L Coone | Family Medicine | 1100 E. Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-18 |
| 1770517591 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1205 N Glenwood Road, Dalton, GA 30721 | 2006-07-10 |
| Find all providers in zip 30721 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730590753 | Connie Kandel | Community Health Worker | 2 Arlington Court Apt 1, Dalton, OH 44618 | 2014-05-13 |
| 1013491588 | Mary Greenway | Community Health Worker | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2018-09-20 |
| 1194176057 | Oscar Holliday | Community Health Worker | 900 Shugart Rd, Dalton, GA 30720-2467 | 2016-06-22 |
| 1811347933 | Gail Barton | Community Health Worker | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2016-06-20 |
| 1740546720 | Debra Prevesk | Community Health Worker | 900 Shugart Rd, Dalton, GA 30720-2467 | 2012-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050724 | Tyneshia Arnold | Community Health Worker | 288 Bailey St Apt K3, Athens, GA 30605-1859 | 2020-10-09 |
| 1518572767 | Blakk Diamond | Community Health Worker | 405 Philip Blvd Apt 1305, Lawrenceville, GA 30046-8749 | 2020-09-14 |
| 1932725371 | Christina Blair | Community Health Worker | 28 Snowdon Way, Villa Rica, GA 30180-3857 | 2020-06-22 |
| 1427671940 | Linda Geiger | Community Health Worker | 4617 Chatham Ct, Evans, GA 30809-3854 | 2020-05-19 |
| 1922634336 | Zelda Younna Wilson | Community Health Worker | 14 Red Hill Church Rd, Richland, GA 31825-7514 | 2020-03-17 |
| 1659913127 | Tracy Brown-lewis | Community Health Worker | 272 Cassidy Trl, Douglasville, GA 30134-5312 | 2019-10-16 |
| 1417500794 | Kalyn L Mattis Vi | Community Health Worker | 2602 Queen Anne Ct, Atlanta, GA 30350-6300 | 2019-07-16 |
| 1679137152 | Blessed Gardenz LLC | Community Health Worker | 1161 Hacknee Ct, Lawrenceville, GA 30044-2771 | 2019-04-30 |
| 1760942353 | Elva Grimm | Community Health Worker | 790 Sweetwater Bridge Cir, Douglasville, GA 30134-5591 | 2019-03-21 |
| 1619431129 | Deborah E. Fuller | Community Health Worker | 1201 Wiloaks Dr Apt B, Snellville, GA 30039-7406 | 2019-01-29 |
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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.