Michael Frank Jackson Jr. (NPI# 1114441375, PAC ID# 5991062523) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1114441375 |
| PAC ID by PECOS | 5991062523 |
| Professional Enrollment ID | I20171206001665 |
| Full Name | Michael Frank Jackson Jr. |
| Organization Legal Name | ELITE SPORT AND SPINE PHYSICAL THERAPY, INC. |
| Address |
151 S Houston Lake Rd Suite 100 Warner Robins GA 31088-6399 |
| Phone Number | 4783332169 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2466448758 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6010 Lakeside Commons Dr D, Macon, GA 31210-5780 | 4782546880 | R. JASON KENT PHYSICAL THERAPY, LLC |
| 150 Osigian Blvd, Suite 300, Warner Robins, GA 31088-8978 | 4783333075 | R. JASON KENT PHYSICAL THERAPY, LLC |
| 151 S Houston Lake Rd, Suite 100, Warner Robins, GA 31088-6399 | 4783332169 | ELITE SPORT AND SPINE PHYSICAL THERAPY, INC. |
| Organization Legal Name | ELITE SPORT AND SPINE PHYSICAL THERAPY, INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy C Eaton | Physical Therapy | Elite Sport and Spine Physical Therapy, Inc. | 1013 Main St, Perry, GA 31069-3353 |
| Street Address |
151 S HOUSTON LAKE RD SUITE 100 |
| City | WARNER ROBINS |
| State | GA |
| Zip | 31088-6399 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Veale Jr. | Vascular Surgery | Vein Specialists of The South | 151 S Houston Lake Rd, Suite 110, Warner Robins, GA 31088-6397 |
| Marsha T Denny | Nurse Practitioner | Vein Specialists of The South | 151 S Houston Lake Rd, Suite 110, Warner Robins, GA 31088-6397 |
| Kenneth E Harper | General Surgery | Vein Specialists of The South | 151 S Houston Lake Rd, Suite 110, Warner Robins, GA 31088-6397 |
| Jennifer E Evans | Family Medicine | Applecare LLC | 151 S Houston Lake Rd, Suite 190, Warner Robins, GA 31088-6382 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Camille S Lundi | Nurse Practitioner | Allergy Associates, Pa | 403 Margie Dr, Warner Robins, GA 31088 |
| Becky L Campbell | Internal Medicine | 500 Spillers Way, Warner Robins, GA 31088-0513 | |
| Kevin J Baggett | Family Medicine | 500 Spillers Way, Warner Robins, GA 31088-0513 | |
| Navid Khoshooee | Optometry | 1112 Russell Pkwy, Suite C, Warner Robins, GA 31088-1819 | |
| Michael P Butler | Chiropractic | 2278 Moody Rd, Suite C, Warner Robins, GA 31088-1925 | |
| Donald S Meck | Psychologist, Clinical | 2278 Moody Rd D, Warner Robins, GA 31088-1933 | |
| Donna Y Rait | Psychologist, Clinical | 2278 Moody Rd, D, Warner Robins, GA 31088-1933 | |
| Kazumi Chino | Diagnostic Radiology | Central Georgia Radiation Oncology Center | 114 Sutherlin Dr R, Warner Robins, GA 31088-2259 |
| Rachel Hinson Youngblood | Physician Assistant | Central Georgia Cancer Care, P.C. | 114 Sutherlin Dr, Suite 1, Warner Robins, GA 31088-2259 |
| Amanda Knauer Hale | Physician Assistant | Central Georgia Cancer Care, P.C. | 114 Sutherlin Dr, Suite 1, Warner Robins, GA 31088-2259 |
| Find all physicians in zip 31088 | |||
| City | WARNER ROBINS |
| Zip Code | 31088 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | WARNER ROBINS + PHYSICAL THERAPY |
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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.