PAMELA MANIOR-JACKSON (NPI# 1770937179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770937179 |
| Entity Type | Individual |
| Full Name | PAMELA MANIOR-JACKSON |
| Practice Address |
455 Winn Way Decatur GA 30030-1707 |
| Practice Telephone | 4042943745 |
| Mailing Telephone | 4042943745 |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN054228 | GA | Nursing Service Providers |
| Street Address |
455 WINN WAY |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356360150 | Melanie C Fisher | Clinical Nurse Specialist | 455 Winn Way, Dekalb Crisis Center, Decatur, GA 30030 | 2006-07-19 |
| 1073013298 | Courtney Willis | Counselor | 455 Winn Way, Decatur, GA 30030-1707 | 2018-02-14 |
| 1043666878 | Donna Jarrett | Registered Nurse | 455 Winn Way, Decatur, GA 30030-1707 | 2016-05-11 |
| 1740634187 | Lucille Henderson-weaver | Registered Nurse | 455 Winn Way, Decatur, GA 30030-1707 | 2016-04-22 |
| 1295189637 | Marie Faustin | Registered Nurse | 455 Winn Way, Decatur, GA 30030-1707 | 2016-04-22 |
| 1558715995 | Angela Holder | Registered Nurse | 455 Winn Way, Decatur, GA 30030-1707 | 2016-04-22 |
| 1861846107 | Denise Gonzalez | Registered Nurse | 455 Winn Way, Decatur, GA 30030 | 2016-04-22 |
| 1700230141 | Tanya Nicholas | Registered Nurse | 455 Winn Way, Decatur, GA 30030-1707 | 2016-04-22 |
| 1457705899 | Linda Jones | Registered Nurse | 455 Winn Way, Decatur, GA 30030-1707 | 2016-04-22 |
| 1134573579 | Natasha Tyson | Registered Nurse | 455 Winn Way, Decatur, GA 30030-1707 | 2016-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495975 | Shalunda Harrison | Licensed Practical Nurse | 4311 Christine Ct, Decatur, GA 30035-1702 | 2020-07-23 |
| 1730616392 | Kalena Yolanda Smith | Licensed Practical Nurse | 12219 Highway 503, Decatur, MS 39327-8915 | 2017-05-15 |
| 1871038729 | Kelli Sha'ron Johnson | Licensed Practical Nurse | 3014 Boring Ridge Dr, Decatur, GA 30034-4427 | 2017-01-02 |
| 1205207230 | Nekeisha Johnson | Licensed Practical Nurse | 4318 Sherwood Oaks Dr, Decatur, GA 30034-5475 | 2015-10-16 |
| 1124450010 | Kurteice C James | Licensed Practical Nurse | 2024 Fowler Rd, Decatur, GA 30035-2130 | 2013-08-02 |
| 1619216645 | Rose Andrea Hills | Licensed Practical Nurse | 3657 Dogwood Farm Rd, Decatur, GA 30034-6403 | 2013-02-12 |
| 1699382895 | Pamela Mckelvey | Licensed Practical Nurse | 4110 Us Highway 31 S, Decatur, AL 35603-1644 | 2020-09-30 |
| 1902427982 | Latasha L Patton | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-01 |
| 1710508692 | Tayler J Dance | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-01 |
| 1992326979 | Stephanie P Conlin | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-01 |
| Find all providers in DECATUR | ||||
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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.