DR. JONATHAN MICHAEL JACKSON (NPI# 1588718894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588718894 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN MICHAEL JACKSON |
| Credential | D.M.D. |
| Practice Address |
755 Mount Vernon Hwy Ne Suite 100 Atlanta GA 30328-4274 |
| Practice Telephone | 4042558443 |
| Practice Fax Number | 4042551326 |
| Mailing Telephone | 4042558443 |
| Mailing Fax Number | 4042551326 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN011776 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861754004 | Jonathan George Jackson | Registered Nurse | 120 Stockton Rd, Chuckey, TN 37641-5900 | 2012-06-13 |
| 1659659621 | Jonathan Brian Jackson | Dentist | 422 1/2 Violet Ave, Monrovia, CA 91016-6731 | 2011-07-25 |
| 1295354660 | Jonathan Jackson | Licensed Vocational Nurse | 8700 Crownhill Blvd, San Antonio, TX 78209-1136 | 2020-04-15 |
| 1033772603 | Jonathan William Jackson | Student in an Organized Health Care Education/Training Program | 1468 Madison Ave Fl 8, New York, NY 10029-6508 | 2019-04-18 |
| 1790029171 | Jonathan Levi Jackson | Pharmacist | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2012-11-26 |
| 1164713467 | Jonathan Jackson | Clinic/Center | 425 Broadway St, Paducah, KY 42001-0713 | 2011-04-21 |
| 1205158730 | Jonathan L Jackson | Counselor | 1104a S Main St, Lexington, NC 27292-3134 | 2010-02-25 |
| 1295062792 | Jonathan Mark Jackson | Physical Therapist | 1000 3rd St, Tillamook, OR 97141-3430 | 2009-11-05 |
| 1891954566 | Jonathan D Jackson | Dentist | 335 E 400 S, Springville, UT 84663-1959 | 2008-06-06 |
| 1629273735 | Jonathan Wesley Jackson | Nurse Anesthetist, Certified Registered | 500 Lauchwood Drive, Laurinburg, NC 28352-5501 | 2007-06-19 |
| Street Address |
755 MOUNT VERNON HWY NE SUITE 100 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328-4274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800123 | Jordan Carney | Nurse Practitioner | 755 Mount Vernon Hwy Ne, Atlanta, GA 30328-4274 | 2020-10-28 |
| 1689020265 | Kelly W Heard | Nurse Practitioner | 755 Mount Vernon Hwy Ne, Suite 370, Atlanta, GA 30328-4274 | 2016-05-12 |
| 1093187684 | Christopher D Sarzen, M.d., P.C. | Internal Medicine | 755 Mount Vernon Hwy Ne, Suite 230, Atlanta, GA 30328-4274 | 2015-10-22 |
| 1740662378 | Farrah D Patti | Nurse Practitioner | 755 Mount Vernon Hwy Ne, Ste 460, Atlanta, GA 30328-4274 | 2015-06-19 |
| 1518346238 | Anna Pollard | Nurse Practitioner | 755 Mount Vernon Hwy Ne, Suite 240, Atlanta, GA 30328-4274 | 2015-05-27 |
| 1558767442 | Susan Blank | Counselor | 755 Mount Vernon Hwy Ne, Ste 330, Atlanta, GA 30328-4274 | 2014-11-05 |
| 1427337021 | Mount Vernon Premier Care, LLC | Internal Medicine | 755 Mount Vernon Hwy Ne, Suite 400, Atlanta, GA 30328-4274 | 2011-08-12 |
| 1649584863 | Kimberly P Brewster | Registered Nurse | 755 Mount Vernon Hwy Ne, Suite 120, Atlanta, GA 30328-4274 | 2010-07-29 |
| 1770742553 | Susan Abigail Duncan | Audiologist | 755 Mount Vernon Hwy Ne, Suite 370, Atlanta, GA 30328-4274 | 2008-06-05 |
| 1831365071 | Diagnostic Radiology Ultrasound & Breast Center, P.C. | Specialist | 755 Mount Vernon Hwy Ne, 310, Atlanta, GA 30328-4274 | 2008-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629619200 | Peachtree Hills Pediatric Dentistry | Dentist | 2385 Peachtree Rd Ne Ste A2ab, Atlanta, GA 30305-4139 | 2019-10-04 |
| 1952969396 | Ns3 Services, LLC | Dentist | 1039 Grant St Se Ste B11, Atlanta, GA 30315-2050 | 2019-05-31 |
| 1215336326 | Esther Lee | Dentist | 270 17th St Nw Unit 1706, Atlanta, GA 30363-1248 | 2014-08-14 |
| 1679993430 | Nikky Shotwell | Dentist | 2979 Silver Hill Ter., S.e., Atlanta, GA 30316-6715 | 2014-04-21 |
| 1932528577 | Jaha V Howard Dds LLC | Dentist | 4300 Paces Ferry Rd Se Ste 405, Atlanta, GA 30339-5759 | 2014-04-10 |
| 1790086668 | Dentistry for Children of Georgia LLC | Dentist | 1350 Spring St Nw Ste 600, Atlanta, GA 30309-2870 | 2010-11-09 |
| 1003123563 | Perimeter Pediatric Dentistry PC | Dentist | 2221 Johnson Ferry Rd Ne, Ste 2-a, Atlanta, GA 30319-2203 | 2010-09-07 |
| 1497905681 | David Michael Treff | Dentist | 4536 Chamblee Dunwoody Rd Ste 211, Atlanta, GA 30338-6201 | 2008-09-24 |
| 1780888693 | Teresa Danielle Jordan | Dentist | 2646 Gresham Rd Se, Atlanta, GA 30316-4148 | 2007-06-13 |
| 1659413953 | Ezat Mulki | Dentist | 1350 Spring St Nw, Ste 600, Atlanta, GA 30309-2864 | 2007-02-13 |
| Find all providers in ATLANTA | ||||
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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.