Joseph L Jackson Jr. (NPI# 1780626721, PAC ID# 4486738655) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1780626721 |
| PAC ID by PECOS | 4486738655 |
| Professional Enrollment ID | I20100217000061 |
| Full Name | Joseph L Jackson Jr. |
| Organization Legal Name | MEDICAL SPECIALISTS |
| Address |
305 Jones Ave Waynesboro GA 30830-1510 |
| Phone Number | 7065545147 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0840108478 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110113 | BURKE MEDICAL CENTER |
| 110028 | UNIVERSITY HOSPITAL |
| 110100 | JEFFERSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 305 Jones Ave, Waynesboro, GA 30830-1510 | 7065545147 | MEDICAL SPECIALISTS |
| 406 E Broad St, Wrens, GA 30833-1113 | 7065477008 | MEDICAL SPECIALISTS |
| Organization Legal Name | MEDICAL SPECIALISTS |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Burke | Nurse Practitioner | Medical Specialists | 305 Jones Ave, Waynesboro, GA 30830-1510 |
| Frank L Carter Jr. | Family Medicine | Medical Specialists | 305 Jones Ave, Waynesboro, GA 30830-1510 |
| Harvey J Sanders Jr. | Internal Medicine | Medical Specialists | 305 Jones Ave, Waynesboro, GA 30830-1510 |
| Shelley A Griffin | Pediatric Medicine | Medical Specialists | 305 Jones Ave, Waynesboro, GA 30830-1510 |
| Joseph L Jackson | Family Medicine | Medical Specialists | 305 Jones Ave, Waynesboro, GA 30830-1510 |
| Shelley H Mallard | Nurse Practitioner | Medical Specialists | 305 Jones Ave, Waynesboro, GA 30830-1510 |
| Johnny Franklin Christian | Family Medicine | Medical Specialists | 305 Jones Ave, Waynesboro, GA 30830-1510 |
| Street Address |
305 JONES AVE |
| City | WAYNESBORO |
| State | GA |
| Zip | 30830-1510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Burke | Nurse Practitioner | Medical Specialists | 305 Jones Ave, Waynesboro, GA 30830-1510 |
| Frank L Carter Jr. | Family Medicine | Medical Specialists | 305 Jones Ave, Waynesboro, GA 30830-1510 |
| Harvey J Sanders Jr. | Internal Medicine | Medical Specialists | 305 Jones Ave, Waynesboro, GA 30830-1510 |
| Shelley A Griffin | Pediatric Medicine | Medical Specialists | 305 Jones Ave, Waynesboro, GA 30830-1510 |
| Joseph L Jackson | Family Medicine | Medical Specialists | 305 Jones Ave, Waynesboro, GA 30830-1510 |
| Shelley H Mallard | Nurse Practitioner | Medical Specialists | 305 Jones Ave, Waynesboro, GA 30830-1510 |
| Johnny Franklin Christian | Family Medicine | Medical Specialists | 305 Jones Ave, Waynesboro, GA 30830-1510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gilbert W Banks | Nephrology | 307 W 4th St, Waynesboro, GA 30830-1511 | |
| Alan Dwayne Durant | Optometry | 300 W 4th St, Waynesboro, GA 30830-1511 | |
| Mignon A Sweat | Chiropractic | Living Life Well Chiropractic, Inc. | 403 Shadrack St, Waynesboro, GA 30830-1540 |
| Bonnie P Jenkins | Family Medicine | 201 Dogwood Dr, Waynesboro, GA 30830-5445 | |
| John B Bieltz | Orthopedic Surgery | Burke County Hospital Authority | 351 S Liberty St, Waynesboro, GA 30830-9686 |
| Timothy P Prieto Kop | Certified Registered Nurse Anesthetist (crna) | Burke County Hospital Authority | 351 S Liberty St, Waynesboro, GA 30830-9686 |
| Ross R Mccabe | Emergency Medicine | Burke County Hospital Authority | 351 S Liberty St, Waynesboro, GA 30830-9686 |
| Chad C Slaughter | Internal Medicine | Burke County Hospital Authority | 351 S Liberty St, Waynesboro, GA 30830-9686 |
| Fanta E Kasiah | Family Medicine | Burke County Hospital Authority | 351 S Liberty St, Waynesboro, GA 30830-9686 |
| Dean Loss | Certified Registered Nurse Anesthetist (crna) | Burke County Hospital Authority | 351 S Liberty St, Waynesboro, GA 30830-9686 |
| Find all physicians in zip 30830 | |||
| City | WAYNESBORO |
| Zip Code | 30830 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WAYNESBORO + FAMILY MEDICINE |
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| 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.