MICKEY JACKSON (NPI# 1922477249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922477249 |
| Entity Type | Individual |
| Full Name | MICKEY JACKSON |
| Practice Address |
610 John Robinson Tl. Dublin GA 31021 |
| Mailing Address |
610 John Robinson Trl Dublin GA 31021-2011 |
| Practice Telephone | 4784849627 |
| Practice Fax Number | 4782724081 |
| Mailing Telephone | 4784849627 |
| Mailing Fax Number | 4782724081 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
610 JOHN ROBINSON TL. |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1144634999 | Danielle Paige Martin | Student in an Organized Health Care Education/Training Program | 2400 Bellevue Rd., Suite# 29-b, Dublin, GA 31021 | 2014-06-19 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164986808 | Caremobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 5455 Waxen Dr, Dublin, OH 43016-8107 | 2019-01-28 |
| 1487004271 | Mtc Non Emergency Medical Transportation | Non-emergency Medical Transport (VAN) | 3272 Giovanni Way, Dublin, CA 94568-4204 | 2016-06-13 |
| 1578815965 | Adult Medicare, Inc. | Non-emergency Medical Transport (VAN) | 4101 Dublin Blvd # 423, Dublin, CA 94568-4592 | 2012-10-09 |
| 1396972410 | Kavita Rai | Non-emergency Medical Transport (VAN) | 3305 Madden Way, Dublin, CA 94568-7242 | 2009-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113668 | Sherita Patricia Green | Non-emergency Medical Transport (VAN) | 397 Brady Road, Americus, GA 31709 | 2020-10-31 |
| 1114525144 | Trinity Nemt LLC | Non-emergency Medical Transport (VAN) | 1546 Scott Rd, Eastanollee, GA 30538-3374 | 2020-10-12 |
| 1487252623 | Mr. Teague & Associates LLC | Non-emergency Medical Transport (VAN) | 4426 Central Church Rd, Douglasville, GA 30135-2762 | 2020-10-10 |
| 1306443775 | Hrj Essentials, LLC | Non-emergency Medical Transport (VAN) | 2690 Cobb Pkwy Se Ste A5-598, Smyrna, GA 30080-3001 | 2020-10-07 |
| 1801401955 | Dexter T Myrick | Non-emergency Medical Transport (VAN) | 158 Hopewell Church Rd Nw, Milledgeville, GA 31061-9743 | 2020-09-14 |
| 1417562190 | Alpine Transportation | Non-emergency Medical Transport (VAN) | 3009 Rainbow Dr Ste 139i, Decatur, GA 30034-1879 | 2020-09-10 |
| 1316551963 | Rsvp Assured Trans, LLC. | Non-emergency Medical Transport (VAN) | 1000 Shadix Industrial Way, Douglasville, GA 30134-3956 | 2020-09-01 |
| 1982227914 | Naquita Dobbs | Non-emergency Medical Transport (VAN) | 7875 Waterwheel Way, Jonesboro, GA 30238-4125 | 2020-05-26 |
| 1104448950 | Latarsha Moneek White | Non-emergency Medical Transport (VAN) | 3611 Cromwell Dr, Hephzibah, GA 30815-6210 | 2020-05-15 |
| 1477175495 | Cpt Services LLC | Non-emergency Medical Transport (VAN) | 5628 Rice Ct, Ellenwood, GA 30294-3879 | 2020-05-13 |
| 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.