MR. MATTHEW MATTHEW JACKSON


Address: 1101 West Morgan St, Suite 8, Paragould, AR 72450-3949
Phone: 8703559483

MR. MATTHEW MATTHEW JACKSON (NPI# 1619103702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619103702
Entity Type Individual
Full Name MR. MATTHEW MATTHEW JACKSON
Credential MHPP
Practice Address 1101 West Morgan St
Suite 8
Paragould
AR 72450-3949
Mailing Address 1815 Pleasant Grove Rd
Jonesboro
AR 72401-7870
Practice Telephone 8703559483
Practice Fax Number 8703359487
Mailing Telephone 8709336886
Mailing Fax Number 8709339395
Enumeration Date 2009-06-03
Last Update Date 2018-05-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator AR Other Service Providers
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers MATTHEW JACKSON

NPI Name Taxonomy Address Enumeration
1184278913 Matthew Jackson Student in an Organized Health Care Education/Training Program 540 W 5150 S, Washington Terrace, UT 84405-6530 2019-07-30
1922651041 Matthew Jackson Social Worker 1820 Pleasant Dr, Portage, MI 49002-5604 2019-07-17
1093289795 Matthew Kory Jackson Chiropractor 515 E 4500 S Ste G230, Salt Lake City, UT 84107-4510 2019-01-15
1932558210 Matthew Jackson Driver 3121 Johnston St Apt 142, Lafayette, LA 70503-3760 2016-06-08
1306237201 Matthew Jackson Specialist/Technologist 51 Edward Rd, Townsend, MA 01469-1107 2015-02-12
1710235452 Matthew Kane Jackson Pharmacist 942 Loy Cemetery Rd, Columbia, KY 42728-8719 2012-08-28
1609942531 Matthew Bryan Jackson Massage Therapist 2600 Sw Barton Street, Suite A24, Seattle, WA 98126 2006-11-24
1962481887 Matthew Dv Jackson Dentist 9319 E Harry, #126, Wichita, KS 67207 2006-01-10
1528590460 Matthew Dean Jackson Student in an Organized Health Care Education/Training Program 571 S Floyd St, Ste 412, Louisville, KY 40202-3818 2017-03-30
1699128645 Matthew Jackson Orthopaedic Surgery 27351 Dequindre Rd, Madison Heights, MI 48071-3487 2016-07-14

Office Location

Street Address 1101 WEST MORGAN ST
SUITE 8
City PARAGOULD
State AR
Zip Code 72450-3949

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700104411 Stacey Dawn Howard Case Manager/Care Coordinator 1101 West Morgan St, Suite 8, Paragould, AR 72450-3949 2010-05-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063029460 Onward and Upward Counseling, Pllc Counselor 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 2020-09-29
1871104182 Michele Lynn Jones Technician 2905 Stonegate Dr, Paragould, AR 72450 2020-08-11
1205457405 Arkansas Methodist Hospital Corp. Family Medicine 1000 W. Kinshighway, Suite 14, Paragould, AR 72450 2020-04-29
1053968222 Stewart Pediatric Therapy LLC Occupational Therapist 1908 Mockingbird Lane, Suite A, Paragould, AR 72450 2019-08-22
1821575911 Ashley Brooke Mcleskey Physical Therapy Assistant 9504 Hwy 135 N, Paragould, AR 72450 2018-07-23
1437660925 Susan Leigh Boling Behavioral Analyst 3171 Green 905 Road, Paragould, AR 72450 2017-10-24
1518481589 Amy Elms Nurse Practitioner 1000 W Kingshighway Ste 3, Paragould, AR 72450 2017-08-01
1073065074 Sarah Katherine Medley Case Manager/Care Coordinator 1101 West Morgan, Paragould, AR 72450 2016-10-26
1285097949 Chelsea Lee Thompson Family Medicine 1110 W. Kingshighway, Paragould, AR 72450 2016-03-31
1609234269 Bethel Burris Oliver Dentist 2713 W Kings Highway, Paragould, AR 72450 2016-02-10
Find all providers in zip 72450

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073065074 Sarah Katherine Medley Case Manager/Care Coordinator 1101 West Morgan, Paragould, AR 72450 2016-10-26
1730596974 Andrew Withrow Case Manager/Care Coordinator 45 Ashcraft Ct, Paragould, AR 72450-7592 2014-07-21
1255755146 Timothy Cavaness Case Manager/Care Coordinator 100 N Rockingchair Rd Ste 2, Paragould, AR 72450-2475 2014-02-12
1710308473 Tonia Scales I Case Manager/Care Coordinator 100 Nth Rockingchair Rd, Paragould, AR 72450 2013-12-26
1811326408 Brandi Mcfadden Case Manager/Care Coordinator 3404 Club View Dr, Paragould, AR 72450-8611 2013-11-05
1215293766 Amalie Fields Case Manager/Care Coordinator 1101 West Morgan Street, Paragould, AR 72450 2012-04-10
1609164896 Alicia Gardner Case Manager/Care Coordinator 211 N. 23rd Street, Suite 6, Paragould, AR 72450 2011-07-21
1912299207 Whitney Leigh Siebert Case Manager/Care Coordinator 211 N 23rd Street #6 & #7, Paragould, AR 72450 2011-05-05
1700183332 Tyler Garmrath Case Manager/Care Coordinator 1101 W Morgan St, Suite 8, Paragould, AR 72450-3949 2011-02-17
1306080130 Dennis Roy Davenport Case Manager/Care Coordinator 1011 West Morgan Street, Paragould, AR 72450 2009-04-23
Find all providers in PARAGOULD

Competitor

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City PARAGOULD
Zip Code 72450

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Dataset Information

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.

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