DR. MARY H. JACKSON (NPI# 1578623955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578623955 |
| Entity Type | Individual |
| Full Name | DR. MARY H. JACKSON |
| Credential | LPC |
| Practice Address |
Route 1 Metter GA 30439 |
| Mailing Address |
Rr 1 Box 298 Metter GA 30439-9703 |
| Practice Telephone | 9126856545 |
| Practice Fax Number | 9126856545 |
| Mailing Telephone | 9126856545 |
| Mailing Fax Number | 9126856545 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1843 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605690 | Mary Sonya Jackson | Contractor | 5480 Hedge Brooke Pointe Nw, Acworth, GA 30101-7142 | 2020-10-06 |
| 1194388678 | Mary Sheree Jackson | Home Health Aide | 226 Mckinley St, Pittsburgh, PA 15210-3312 | 2019-04-19 |
| 1508358813 | Mary Jackson | Counselor | 3442 W Emma Pl, Queen Creek, AZ 85142-0506 | 2018-06-01 |
| 1891220935 | Mary Jackson | Counselor | 2824 N Cascade Ave, Colorado Springs, CO 80907-6213 | 2017-04-26 |
| 1992152672 | Mary Jackson | Non-emergency Medical Transport (VAN) | 421 Lively Hope Rd, Callao, VA 22435-2511 | 2016-05-23 |
| 1699121129 | Mary Theresa Jackson | Counselor | 345 Old Cuyler Rd, Ellabell, GA 31308-5858 | 2016-05-13 |
| 1013331586 | Mary Jackson I | Chore Provider | 555 Old Lewiston Rd, Winthrop, ME 04364-4112 | 2014-02-04 |
| 1316203854 | Mary Louise Jackson | Home Health Aide | 256 Clairmont Ave, Mansfield, OH 44903-1547 | 2012-04-10 |
| 1376835298 | Mary Bickel Jackson | Nutritionist | 33 Fulton Plaza, Middletown, NY 10940 | 2011-05-11 |
| 1437456522 | Mary Elisabeth Jackson | Counselor | 804 South Oakland Ave, Carbondale, IN 62901 | 2011-02-25 |
| Street Address |
ROUTE 1 |
| City | METTER |
| State | GA |
| Zip Code | 30439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285132415 | Tattnall Hospital Company, LLC | Family Medicine | 380a Cedar St, Metter, GA 30439 | 2018-01-23 |
| 1356718050 | Fred's Stores of Tennessee Inc | Pharmacy | 978 Ga Highway 46 E., Metter, GA 30439 | 2015-08-28 |
| 1235548447 | Southern Home Care Services, Inc. | In Home Supportive Care | 11 South Roundtree St, Metter, GA 30439 | 2014-08-13 |
| 1013261312 | Tattnall Hospital Company, LLC | Physical Medicine & Rehabilitation | 8. North Williams Street, Metter, GA 30439 | 2012-11-08 |
| 1598913394 | Julie Marshall Karpinsky | Nurse's Aide | 4830 White Way Circle, Metter, GA 30439 | 2008-09-04 |
| 1467538454 | Cheryl Rogers Allen | Pharmacist | 19 North Broad Sreet, Metter, GA 30439 | 2006-10-31 |
| 1407963853 | William W Clance Dmd PC | Dentist | 500 N Lewis St, Metter, GA 30439 | 2006-08-23 |
| 1568482644 | R Gary Branch | Family Medicine | 10 Doctors Street, Metter, GA 30439 | 2006-07-20 |
| 1093973406 | John Robert Bowen Jr. | Pharmacist | 745 S Lewis St, Metter, GA 30439 | 2008-06-02 |
| 1023039732 | Candler Medical Group, Inc. - Metter | Family Medicine | 10 Doctors Street, Metter, GA 30439 | 2006-07-21 |
| Find all providers in zip 30439 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144866823 | Wendy Powell Salter | Counselor | 18903 Kermit Rd, Metter, GA 30439-1326 | 2019-11-18 |
| 1073066718 | Tracy Edwards | Counselor | 737 S Lewis St, Metter, GA 30439-5128 | 2016-07-29 |
| 1851613756 | Tonya Campbell Harris | Counselor | 432 N Rountree St, Metter, GA 30439-3702 | 2010-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
| 1114528957 | Takelia Hughey | Counselor | 2875 Spring Villa Ln Se, Smyrna, GA 30080-3644 | 2020-11-06 |
| 1083215685 | Peace of Mind Counseling and Therapeutic Services | Counselor | 290 Baywood Way, Hiram, GA 30141-3186 | 2020-11-02 |
| 1780284513 | Hogue Counseling and Consulting Services, LLC | Counselor | 7861 Waterlace Dr, Fairburn, GA 30213-4648 | 2020-10-30 |
| 1245830140 | Tiffany Alberto | Counselor | 350 Lyndale Dr Se, Atlanta, GA 30316-2692 | 2020-10-29 |
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1598365033 | Tiffany Johnson | Counselor | 309 Ivy Chase Ln, Peachtree Corners, GA 30092-4641 | 2020-10-26 |
| 1568061331 | Justin White | Counselor | 1025 Powers Pl, Alpharetta, GA 30009-8356 | 2020-10-22 |
| 1295334209 | Mark Alan Beach | Counselor | 320 Victory Home Ln, Clarkesville, GA 30523 | 2020-10-21 |
| 1396344339 | Savannah Therapeutic Services, LLC | Counselor | 2431 Habersham St Ste C, Savannah, GA 31401-9360 | 2020-10-21 |
| 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.