MELANIE B JACKSON (NPI# 1942421557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942421557 |
| Entity Type | Individual |
| Full Name | MELANIE B JACKSON |
| Credential | L.PN |
| Practice Address |
605 West Gordon Thomaston GA 30286 |
| Mailing Address |
227 Shady Lane Williamson GA 30292 |
| Practice Telephone | 7703585252 |
| Practice Fax Number | 7066466039 |
| Mailing Telephone | 7702273085 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN031091 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013228600 | Melanie J Jackson | Counselor | 5840 Red Bug Lake Rd, #1548, Winter Springs, FL 32708-5011 | 2010-06-29 |
| 1619953726 | Melanie Hope Jackson | Psychologist | 2864 Dauphin St, Suite A, Mobile, AL 36606-2479 | 2005-12-20 |
| 1215472444 | Melanie Jackson | Registered Nurse | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2016-12-25 |
| 1528421617 | Melanie Kay Jackson | Social Worker | 1436 S Shelby St, Louisville, KY 40217-1107 | 2016-04-05 |
| 1750769659 | Melanie Jackson | Internal Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2015-05-11 |
| 1659711463 | Melanie A Jackson | Internal Medicine | 4805 Ne Glisan St, Portland, OR 97213-2933 | 2013-06-26 |
| 1174711550 | Melanie L Jackson | Occupational Therapist | 300 Ne Missouri Rd, Lees Summit, MO 64086-4714 | 2007-10-10 |
| 1134313364 | Melanie Jackson | Physician Assistant | 10201 66th Rd, Ob/gyn Dept 3rd Floor, Forest Hills, NY 11375-2029 | 2007-08-30 |
| 1205046661 | Melanie Jackson | Nurse Practitioner | 372 Post Ave, Westbury, NY 11590-2201 | 2007-05-23 |
| 1841406030 | Melanie Wilma Jackson | Dentist | 280 Mamaroneck Ave, Suite 305, White Plains, NY 10605-1438 | 2007-05-15 |
| Street Address |
605 WEST GORDON |
| City | THOMASTON |
| State | GA |
| Zip Code | 30286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093190670 | Careconnect Health, Inc. | Clinic/Center | 101 Deluxe Circle, Suite B, Thomaston, GA 30286 | 2015-07-24 |
| 1366859092 | Rhanada Shanae Wyche | Licensed Practical Nurse | 1226 Trice Cemetery Spur, Thomaston, GA 30286 | 2014-07-15 |
| 1083842918 | Upson Family Physicians, Lc | Family Medicine | 612 West Gordon Street, Suite C, Thomaston, GA 30286 | 2009-06-30 |
| 1114064540 | Kevin Lee Delli-gatti | Pediatrics | 403 W Gordon St, Thomaston, GA 30286 | 2007-02-01 |
| 1356487367 | Fuller Life Chiropractic Center | Chiropractor | 1619 Hwy 19 North, Thomaston, GA 30286 | 2007-01-29 |
| 1013072339 | Tommy Wayne Farr | Dentist | 98 Short E St, Thomaston, GA 30286 | 2006-12-27 |
| 1841301900 | Kenneth Murray Deen | Ophthalmology | 232 Cherokee Road, Thomaston, GA 30286 | 2006-08-31 |
| 1659489987 | William B Gardner | Dentist | 507 W Gordon St, Thomaston, GA 30286 | 2006-08-28 |
| 1619936895 | Sabrina M. Lancaster | Nurse Practitioner | 503 West Grodon St, Thomaston, GA 30286 | 2006-03-17 |
| 1689714941 | Richard Clayton D.c. P.C. | Chiropractor | 205 Thomas St, Thomaston, GA 30286 | 2007-02-07 |
| Find all providers in zip 30286 | ||||
| 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 |
|---|---|---|---|---|
| 1366859092 | Rhanada Shanae Wyche | Licensed Practical Nurse | 1226 Trice Cemetery Spur, Thomaston, GA 30286 | 2014-07-15 |
| 1023672672 | Stephanie Smith White | Licensed Practical Nurse | 713 Andrews Dr, Thomaston, GA 30286-4524 | 2019-04-30 |
| 1871769455 | Pennie Christie Parker | Licensed Practical Nurse | 605 W Gordon St, Thomaston, GA 30286-3425 | 2008-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961557 | Christina Jarvis-reid | Licensed Practical Nurse | 211 Lasso Dr, Riverdale, GA 30274-4095 | 2020-10-28 |
| 1326646639 | Yolanda Glover-harden | Licensed Practical Nurse | 6214 Hickory Lane Cir, Union City, GA 30291-5509 | 2020-10-09 |
| 1831706423 | Sonia Dareus | Licensed Practical Nurse | 1495 Cain Ct N, Douglasville, GA 30134-3681 | 2020-09-28 |
| 1609482140 | Antronette Darrell | Licensed Practical Nurse | 1578 Cherry Hill Rd Sw, Conyers, GA 30094-6835 | 2020-09-21 |
| 1760097778 | Christal Latrice Callier | Licensed Practical Nurse | 1995 Matt Dr, Austell, GA 30168-4330 | 2020-09-15 |
| 1356955678 | Marica Lashone Sanders | Licensed Practical Nurse | 301 -3 Club Villa Court, Kathleen, GA 31047 | 2020-09-03 |
| 1689287641 | Lydia Gennie | Licensed Practical Nurse | 1004 Shoreline Dr, Bainbridge, GA 39817-8393 | 2020-08-28 |
| 1558972588 | Starla Lynn Waddell | Licensed Practical Nurse | 675a Moran Lake Rd Ne, Rome, GA 30161-2106 | 2020-08-13 |
| 1700495975 | Shalunda Harrison | Licensed Practical Nurse | 4311 Christine Ct, Decatur, GA 30035-1702 | 2020-07-23 |
| 1902414683 | Vernita Monica Washington | Licensed Practical Nurse | 1974 Talmadge Rd, Allenhurst, GA 31301-3201 | 2020-07-17 |
| 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.