CHINETA JACKSON (NPI# 1588170013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588170013 |
| Entity Type | Individual |
| Full Name | CHINETA JACKSON |
| Practice Address |
175 Kirkland Rd Covington GA 30016-3317 |
| Practice Telephone | 6782092555 |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN248343 | GA | Nursing Service Providers |
| Street Address |
175 KIRKLAND RD |
| City | COVINGTON |
| State | GA |
| Zip Code | 30016-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295899193 | Deborah Polk | Counselor | 175 Kirkland Rd, Covington, GA 30016-3317 | 2006-12-22 |
| 1316437122 | Teresa Nicholson | Registered Nurse | 175 Kirkland Rd, Covington, GA 30016-3317 | 2018-05-16 |
| 1326384728 | View Point Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 175 Kirkland Rd, Covington, GA 30016-3317 | 2012-12-13 |
| 1790838274 | Janice Brown | Counselor | 175 Kirkland Rd, Covington, GA 30016-3317 | 2007-01-19 |
| 1619026788 | Lulatha Bartley | Counselor | 175 Kirkland Rd, Covington, GA 30016-3317 | 2007-01-09 |
| 1922165422 | Johnny M Sutton | Counselor | 175 Kirkland Rd, Covington, GA 30016-3317 | 2007-01-03 |
| 1861559379 | Gretchen Butler | Counselor | 175 Kirkland Rd, Covington, GA 30016-3317 | 2007-01-03 |
| 1265599757 | Cornelius Kimball | Counselor | 175 Kirkland Rd, Covington, GA 30016-3317 | 2007-01-03 |
| 1417014218 | Teresa L Vaughn | Counselor | 175 Kirkland Rd, Covington, GA 30016-3317 | 2007-01-02 |
| 1962569772 | Terry Williams | Counselor | 175 Kirkland Rd, Covington, GA 30016-3317 | 2007-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013565605 | Katrina Williams | Case Manager/Care Coordinator | 220 Meadowidge Dr, Covington, GA 30016 | 2019-08-28 |
| 1407322134 | Mali Rice | Registered Nurse | 105 Syracuse Lane, Covington, GA 30016 | 2018-10-20 |
| 1619452927 | Angelina Jones | Contractor | 290 Piedmont Circle, Covington, GA 30016 | 2018-10-02 |
| 1881116721 | Springhill Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Spring Hill Drive, Covington, GA 30016 | 2017-07-12 |
| 1922538529 | Tisha Owes | Home Health | 110 Trinity Dr, Covington, GA 30016 | 2017-06-15 |
| 1053868695 | Delhia Assanah IIi | Counselor | 101 Kirkland Road, Covington, GA 30016 | 2016-09-01 |
| 1760834295 | Resurgens East Surgery Center, LLC | Clinic/Center | 3241 Iris Dr, Suite 100, Covington, GA 30016 | 2016-07-08 |
| 1528443371 | Latoya N Wright | Counselor | 100 Winnstead Place, Covington, GA 30016 | 2015-07-22 |
| 1598157307 | Sierra Private Homecare, Inc. | Adult Companion | 75 Cinnamon Oak Circle, Covington, GA 30016 | 2015-03-03 |
| 1326391079 | Lana Abiola Fraser | Nurse's Aide | 840 Oakhill Road, Covington, GA 30016 | 2012-10-18 |
| Find all providers in zip 30016 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063462257 | Linda D'erminio | Registered Nurse | 722 Scott St, Covington, KY 41011-2418 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1255895710 | Latane Diaz | Registered Nurse | 597 Brigham Trl, Augusta, GA 30909-6060 | 2019-01-29 |
| 1871099036 | Mary Jane Cleghorn | Registered Nurse | 5563 Concord Cir, Gainesville, GA 30507-8704 | 2018-04-04 |
| 1386097418 | Debra Zwemer | Registered Nurse | 4593 Hebbard Way, Evans, GA 30809-3811 | 2016-07-13 |
| 1760845267 | Cassandra Faye Milton | Registered Nurse | 2971 Gena Dr, Decatur, GA 30032-5706 | 2016-04-01 |
| 1336589183 | Mary Azar Pride | Registered Nurse | 30-b Lenox Pte. N.e., Bldg 30 - Suite B, Atlanta, GA 30324 | 2013-06-26 |
| 1710222450 | Cynthia M. Brown | Registered Nurse | 34 Peachtree St., N.w., Suite 77 Mhm, Atlanta, GA 30303 | 2012-12-06 |
| 1609107721 | Dorcas A Bolaji | Registered Nurse | 1231 Sweetgum Trl, Conyers, GA 30012-3593 | 2010-01-29 |
| 1841521721 | Quality Care | Registered Nurse | 3021 Brook Ln, Rex, GA 30273-2434 | 2010-01-17 |
| 1447585898 | Beverly A Williams | Registered Nurse | 9490 Deer Crossing Dr, Jonesboro, GA 30236-5197 | 2009-10-02 |
| 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.