Helen A Jackson (NPI# 1235572488, PAC ID# 3779870258) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1235572488 |
| PAC ID by PECOS | 3779870258 |
| Professional Enrollment ID | I20160927002250 |
| Full Name | Helen A Jackson |
| Organization Legal Name | SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC |
| Address |
1 Commerce Dr Suite 106 Hattiesburg MS 39402-1499 |
| Phone Number | 6012551618 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 0547442766 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1 Commerce Dr, Suite 106, Hattiesburg, MS 39402-1499 | 6012551618 | SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC |
| 1 Commerce Dr, Hattiesburg, MS 39402-1499 | 6012551618 | SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC |
| Organization Legal Name | SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Devonne A Conner | Clinical Social Worker | Southern Behavioral Medicine Associates Pllc | 1 Commerce Dr, Suite 106, Hattiesburg, MS 39402-1499 |
| Tiffiney R Hill | Clinical Social Worker | Southern Behavioral Medicine Associates Pllc | 1 Commerce Dr, Suite 106, Hattiesburg, MS 39402-1499 |
| David W Gavel | Psychologist, Clinical | Southern Behavioral Medicine Associates Pllc | 1 Commerce Dr, Suite 106, Hattiesburg, MS 39402-1499 |
| Kasey J. Autman | Clinical Social Worker | Southern Behavioral Medicine Associates Pllc | 1 Commerce Dr, Suite 106, Hattiesburg, MS 39402-1499 |
| Stephanie L Smith | Clinical Social Worker | Southern Behavioral Medicine Associates Pllc | 1 Commerce Dr, Suite 106, Hattiesburg, MS 39402-1499 |
| Geralyn Datz | Psychologist, Clinical | Southern Behavioral Medicine Associates Pllc | 1 Commerce Dr, Suite 106, Hattiesburg, MS 39402-1499 |
| Street Address |
1 COMMERCE DR SUITE 106 |
| City | HATTIESBURG |
| State | MS |
| Zip | 39402-1499 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Devonne A Conner | Clinical Social Worker | Southern Behavioral Medicine Associates Pllc | 1 Commerce Dr, Suite 106, Hattiesburg, MS 39402-1499 |
| Tiffiney R Hill | Clinical Social Worker | Southern Behavioral Medicine Associates Pllc | 1 Commerce Dr, Suite 106, Hattiesburg, MS 39402-1499 |
| David W Gavel | Psychologist, Clinical | Southern Behavioral Medicine Associates Pllc | 1 Commerce Dr, Suite 106, Hattiesburg, MS 39402-1499 |
| Kasey J. Autman | Clinical Social Worker | Southern Behavioral Medicine Associates Pllc | 1 Commerce Dr, Suite 106, Hattiesburg, MS 39402-1499 |
| Stephanie L Smith | Clinical Social Worker | Southern Behavioral Medicine Associates Pllc | 1 Commerce Dr, Suite 106, Hattiesburg, MS 39402-1499 |
| Geralyn Datz | Psychologist, Clinical | Southern Behavioral Medicine Associates Pllc | 1 Commerce Dr, Suite 106, Hattiesburg, MS 39402-1499 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William T Cochran | Physical Therapy | 98 Place Blvd, Suite 52, Hattiesburg, MS 39402 | |
| Paul E Zeagler | Physical Therapy | Hattieburg Physical Therapy Center | 98 Place Blvd, Suite 52, Hattiesburg, MS 39402 |
| Jennifer Stewart | Physical Therapy | Drayer Physical Therapy Institute LLC | 6134 Hwy 98 W, Hattiesburg, MS 39402 |
| Paul M Rocconi | Diagnostic Radiology | Comprehensive Radiology Services, Pllc | 5000 W 4th St, Hattiesburg, MS 39402-1000 |
| Volney E Pierce Jr. | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Delia A Smith | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Barbara J Proctor | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Brenda Jordan | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Lynda I Gentchev | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Donald H Gale | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Find all physicians in zip 39402 | |||
| City | HATTIESBURG |
| Zip Code | 39402 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | HATTIESBURG + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Helen A Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.