DR. JASON COLE JACKSON (NPI# 1649378464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649378464 |
| Entity Type | Individual |
| Full Name | DR. JASON COLE JACKSON |
| Credential | PA-C, DC |
| Practice Address |
1211 Dinah Shore Blvd Winchester TN 37398-1107 |
| Practice Telephone | 9319676669 |
| Practice Fax Number | 9319676606 |
| Mailing Telephone | 9319676669 |
| Mailing Fax Number | 9319676606 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2014-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 0000002010 | TN | Chiropractic Providers |
| Y | 363A00000X | Physician Assistant | 2187 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TN BC/BS | 4117134 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912363458 | Jason Jackson | Technician, Pathology | 4 E Weald Ave, Bear, DE 19701-1664 | 2016-01-13 |
| 1871844191 | Jason Matthew Jackson | Physician Assistant | 930 W Ralph Hall Pkwy Ste 108, Rockwall, TX 75032-6664 | 2012-09-26 |
| 1932374428 | Jason Jackson | Physical Therapist | 2631 Cottage Creek Dr, Pearland, TX 77584-9801 | 2008-04-25 |
| 1508491614 | Jason A Jackson | Pharmacist | 416 S Tyler St, Amarillo, TX 79101-2346 | 2020-03-09 |
| 1134782337 | Jason Allen Jackson | Peer Specialist | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2019-04-15 |
| 1619381548 | Jason Jackson | Community Based Residential Treatment Facility, Mental Illness | 2470 Wrondel Way Ste 275, Reno, NV 89502-3701 | 2014-06-18 |
| 1346660826 | Jason Ryan Jackson | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2014-04-23 |
| 1285059519 | Jason Jackson | Counselor | 739 Thimble Shoals Blvd, Newport News, VA 23606-3562 | 2014-02-24 |
| 1033290226 | Jason Jackson | Physical Therapist | 1468 Madison Avenue, New York, NY 10029-6574 | 2006-10-17 |
| 1316907298 | Jason Jackson | Emergency Medicine | 1141 Rose Ave, Selma, CA 93662-3241 | 2006-03-24 |
| Street Address |
1211 DINAH SHORE BLVD |
| City | WINCHESTER |
| State | TN |
| Zip Code | 37398-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356385967 | Sherry Lee | Nurse Practitioner | 1211 Dinah Shore Blvd, Winchester, TN 37398 | 2006-06-15 |
| 1568021483 | Karen Gayle Brazier | Registered Nurse | 1211 Dinah Shore Blvd, Winchester, TN 37398-1107 | 2019-06-13 |
| 1619399169 | Melissa Watson | Nurse Practitioner | 1211 Dinah Shore Blvd, Winchester, TN 37398-1107 | 2014-01-16 |
| 1083909204 | Complete Express Care, LLC | Nurse Practitioner | 1211 Dinah Shore Blvd, Winchester, TN 37398-1107 | 2011-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738170 | Results-ast Jv, LLC | Physical Therapist | 2030 Cowan Highway, Suite 1, Winchester, TN 37398 | 2020-10-21 |
| 1902239759 | Ann C Richardson | Pharmacist | 1201 Dinah Shore Blvd, Winchester, TN 37398 | 2013-08-15 |
| 1851734230 | Gina Renee Jacobs | Ambulance | 305 N College St., Winchester, TN 37398 | 2013-04-16 |
| 1083895205 | Jill Kay Stokes | Occupational Therapy Assistant | 463 Dripping Springs Road, Winchester, TN 37398 | 2007-11-15 |
| 1962581702 | Carol H Wallace | Pharmacy | 1201 Dinah Shore Boulevard, Winchester, TN 37398 | 2006-11-03 |
| 1457459562 | Karen A Tidmore | Family Medicine | 1811 Sharp Springs Rd, Winchester, TN 37398 | 2006-09-20 |
| 1912985425 | Caresouth Hha Holdings of Winchester LLC | Durable Medical Equipment & Medical Supplies | 2068 Cowan Hwy, Winchester, TN 37398 | 2006-01-04 |
| 1215372768 | Clive Anderson Wasson | Surgery | 83 Memorial Dr, Winchester, TN 37398 | 2013-05-09 |
| 1326322967 | John Anthony O'driscoll Jr. | Physical Therapist | 2030 Cowan Hwy Ste 1, Winchester, TN 37398 | 2011-09-30 |
| 1104107838 | Carol Henshaw Wallace | Pharmacist | 1201 Dinah Shore Boulevard, Bennetts Pharmacy, Winchester, TN 37398 | 2011-09-08 |
| Find all providers in zip 37398 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001529 | Careteam, LLC | Physician Assistant | 1330 Amherst St Ste E, Winchester, VA 22601-3054 | 2020-10-23 |
| 1467017137 | Megan Catherine Kish | Physician Assistant | 111 Cahille Dr, Winchester, VA 22602-6797 | 2019-05-07 |
| 1518430628 | Sean Michael Nadalin | Physician Assistant | 921 Orchard Hill Dr, Winchester, VA 22601-2771 | 2019-01-10 |
| 1417457193 | Brianna Renee Rosskamp | Physician Assistant | 607 E Jubal Early Dr Apt 1, Winchester, VA 22601-5178 | 2018-02-19 |
| 1770038739 | Rupal Patel | Physician Assistant | 207 Gateway Dr, Winchester, VA 22603-5835 | 2016-08-19 |
| 1932497419 | Angela Lynn Ettinger | Physician Assistant | 190 Campus Blvd, Ste. 300, Winchester, VA 22601 | 2011-07-18 |
| 1508049354 | William E Dalton | Physician Assistant | 106 Launchris Dr, Winchester, VA 22602-6610 | 2007-12-14 |
| 1639274921 | Melissa Lilly | Physician Assistant | 1870 Amherst Suite 2b, Winchester, VA 22601 | 2006-09-13 |
| 1508874033 | Alyson P Humphreys | Physician Assistant | 128 Medical Circle, Winchester, VA 22601 | 2006-08-03 |
| 1144278219 | Rachel Ann Carlson | Physician Assistant | 160 Merchant St Ste 200, Winchester, VA 22603-4772 | 2006-05-04 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 37398 |
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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.