ROGER LEE JACKSON II (NPI# 1881214872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881214872 |
Entity Type | Individual |
Full Name | ROGER LEE JACKSON II |
Practice Address |
713 Clifton Rd Se Atlanta GA 30316-2229 |
Practice Telephone | 4042465444 |
Mailing Telephone | 4042465444 |
Enumeration Date | 2020-04-20 |
Last Update Date | 2020-04-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 146M00000X | Emergency Medical Technician, Intermediate | 40076 | GA | Emergency Medical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366957342 | Roger Dale Jackson | Counselor | 8200 Georgia St, Merrillville, IN 46410-6227 | 2017-12-12 |
1013135086 | Roger Jackson | Dentist | 11144 N Frank Lloyd Wright Blvd, Ste E8, Scottsdale, AZ 85259-2646 | 2007-04-23 |
1811044548 | Roger P Jackson | Orthopaedic Surgery | 2750 Clay Edwards Dr Ste 600, North Kansas City, MO 64116-3258 | 2007-01-04 |
1932177417 | Roger K Jackson | Psychiatry & Neurology | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7213 | 2006-03-09 |
Street Address |
713 CLIFTON RD SE |
City | ATLANTA |
State | GA |
Zip Code | 30316-2229 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790307049 | Caretakers Ems | Ambulance | 713 Clifton Rd Se, Atlanta, GA 30316-2229 | 2020-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073156923 | Rakiya Williams | Counselor | 1030 Fayetteville Rd., Atlanta, GA 30316 | 2019-10-23 |
1215585815 | Madison Victoria Baugh | Counselor | Chris180, 1030 Fayetteville Rd, Atlanta, GA 30316 | 2019-08-28 |
1265089460 | Josee Dominque Muldrew | Counselor | 1030 Fayetteville Rd. Se, Atlanta, GA 30316 | 2019-08-22 |
1255984241 | Monique Overstreet | Counselor | 1030 Fayetteville Road, Atlanta, GA 30316 | 2019-07-19 |
1023573979 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 905 Memorial Drive Se, Atlanta-fulton, GA 30316 | 2019-02-05 |
1740726454 | Jimmy Brian Sambula | Behavior Technician | 1017 Fayetteville Rd. Se, Atlanta, GA 30316 | 2017-01-19 |
1033665039 | Liberty Group Senior Services | Clinic/Center | 1879 Glenwood Avenue, Atlanta, GA 30316 | 2016-08-30 |
1043673650 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 800 Glenwood Ave Se, Atlanta, GA 30316 | 2016-03-31 |
1992143382 | Ayodele Osasona | Surgery | 2004 Oak Terrace Dr Se, Atlanta, GA 30316 | 2013-06-07 |
1891945721 | Denise Renee Cagle | Social Worker | 1471 Town Country Dr Se, Atlanta, GA 30316 | 2008-09-28 |
Find all providers in zip 30316 |
Taxonomy Code | 146M00000X |
Grouping | Emergency Medical Service Providers |
Classification | Emergency Medical Technician, Intermediate |
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346850856 | Christopher Lee Bailey | Emergency Medical Technician, Intermediate | 1893 Lathrop St Se, Atlanta, GA 30315-6917 | 2020-08-10 |
1851595482 | Steven Marshall Brown | Emergency Medical Technician, Intermediate | 1105 W Peachtree St Nw, Atlanta, GA 30309-3608 | 2007-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487210704 | Andre Grant | Emergency Medical Technician, Intermediate | 2136 W Park Ct Ste B, Stone Mountain, GA 30087-3528 | 2019-05-13 |
1760944334 | Arelious Dunn | Emergency Medical Technician, Intermediate | 6722 Highway 85 Ste 5, Riverdale, GA 30274-2373 | 2019-04-03 |
1811488836 | Jeffrey Touchberry | Emergency Medical Technician, Intermediate | 217 Lovebridge Dr Se, Calhoun, GA 30701-4800 | 2018-05-24 |
1750800058 | Shawn Anthony Moore | Emergency Medical Technician, Intermediate | 900 N Hairston Rd Ste A3, Stone Mountain, GA 30083-2857 | 2017-09-18 |
1689101479 | Pamela Olivia Dugar | Emergency Medical Technician, Intermediate | 3117 Deans Bridge Rd, Augusta, GA 30906-3379 | 2017-05-11 |
1457890824 | James Richard Dow II | Emergency Medical Technician, Intermediate | 1453 Wood Park Way Nw, Kennesaw, GA 30152-4670 | 2017-02-18 |
1023566387 | Kalli Pelar Coleman Addison | Emergency Medical Technician, Intermediate | 131 Cypress Ln, Eatonton, GA 31024-7567 | 2016-09-15 |
1437567385 | Anthony Quinn Hodge | Emergency Medical Technician, Intermediate | 4035 Jonesboro Rd Ste 240, Forest Park, GA 30297-1035 | 2014-07-23 |
1720353642 | Santos Efrain Ortiz | Emergency Medical Technician, Intermediate | 4761 Pauline Rd, Douglasville, GA 30135-4575 | 2012-03-09 |
1760634059 | Dbhg Enterprises LLC | Emergency Medical Technician, Intermediate | 5700 Hillandale Dr Bldg 200, Suite 210, Lithonia, GA 30058-4103 | 2008-10-17 |
Find all providers with the same taxonomy |
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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.