SHANA LORENE COX JACKSON (NPI# 1730786641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730786641 |
Entity Type | Individual |
Full Name | SHANA LORENE COX JACKSON |
Practice Address |
1446 Harper St Augusta GA 30912-0012 |
Mailing Address |
104 Addie Rd Graniteville SC 29829-3732 |
Practice Telephone | 7067212181 |
Mailing Telephone | 8036249786 |
Enumeration Date | 2020-10-04 |
Last Update Date | 2020-10-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
231529 | SC | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639552094 | Shana Jackson | Social Worker | 3517 Brandon Ave Sw, Roanoke, VA 24018-1523 | 2015-07-02 |
1225316581 | Shana Oniella Jackson | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2011-08-03 |
Street Address |
1446 HARPER ST |
City | AUGUSTA |
State | GA |
Zip Code | 30912-0012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942360680 | Susan B. Swoope | Physical Therapist | 1446 Harper St, Bt-c2902, Augusta, GA 30912-0012 | 2006-12-11 |
1982229076 | Cory Barrows | Pediatrics | 1446 Harper St, Augusta, GA 30912-0012 | 2020-06-15 |
1578188827 | Rhyan E Bingham | Pediatrics | 1446 Harper St, Augusta, GA 30912-0012 | 2020-06-12 |
1205451424 | Joseph Craig Holjencin | Pediatrics | 1446 Harper St, Augusta, GA 30912-0012 | 2020-06-12 |
1265057467 | Ashlyn Cox | Pediatrics | 1446 Harper St, Augusta, GA 30912-0012 | 2020-06-12 |
1639794142 | Megan Ingley | Pediatrics | 1446 Harper St, Augusta, GA 30912-0012 | 2020-06-10 |
1003431545 | Kristen Schmidbauer | Pediatrics | 1446 Harper St, Augusta, GA 30912-0012 | 2020-06-10 |
1477178994 | Chaitanya Sambangi | Pediatrics | 1446 Harper St, Augusta, GA 30912-0012 | 2020-06-10 |
1770104283 | Sierra Jacquelynn Wineinger | Dietitian, Registered | 1446 Harper St, Augusta, GA 30912-0012 | 2020-05-06 |
1780203547 | Daniel Lamar Allen Jr. | Pediatrics | 1446 Harper St, Augusta, GA 30912-0012 | 2020-04-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
Find all providers in zip 30912 |
Taxonomy Code | 163WP0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487276770 | Haleigh Anderson | Registered Nurse | 3883 Chamblee Dunwoody Rd, Atlanta, GA 30341-1701 | 2020-05-11 |
1447896840 | Kaci Gerhardt | Registered Nurse | 2576 Elizabeth Pl, Macon, GA 31204-2414 | 2019-11-20 |
1033755509 | Vera Ni Strange | Registered Nurse | 5080 Peachtree Blvd Ste 100, Chamblee, GA 30341-2878 | 2019-11-20 |
1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
1760932883 | Takiyah Jamila Rowe | Registered Nurse | 7944 Harmony Lakes Dr, Lithonia, GA 30058-1503 | 2016-10-13 |
1205802451 | Sandra Rodriguez Mitchell | Registered Nurse | 148 Lake Manor Dr, Kingsland, GA 31548-6274 | 2006-02-27 |
1851390249 | Constance Anne Hamilton | Registered Nurse | 421 Harmon Ave, Suite 2j11b, Fort Stewart, GA 31314-5611 | 2005-07-18 |
1104423136 | Megan Childs | Registered Nurse | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2020-10-02 |
1538785530 | Elizabeth Nell Cochran | Registered Nurse | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2020-06-25 |
1194345264 | Meghan Mchale | Registered Nurse | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-04-19 |
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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.