George W Jackson (NPI# 1497824304, PAC ID# 8123003571) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1497824304 |
| PAC ID by PECOS | 8123003571 |
| Professional Enrollment ID | I20040621001335 |
| Full Name | George W Jackson |
| Address |
1440 Hwy 62 412 Highland AR 72542-9497 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040119 | WHITE RIVER MEDICAL CENTER |
| 040027 | BAXTER REGIONAL MEDICAL CENTER |
| 041322 | FULTON COUNTY HOSPITAL |
| 040118 | NEA BAPTIST MEMORIAL HOSPITAL |
| 040020 | ST BERNARDS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1440 Hwy 62 412, Highland, AR 72542-9497 |
| Street Address |
1440 HWY 62 412 |
| City | HIGHLAND |
| State | AR |
| Zip | 72542-9497 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Venita Lynne Ninemire | Nurse Practitioner | Doctors Health Group, Inc | 1995 Hwy 62 412, Highland, AR 72542-9262 |
| Nicholas W Guinn | Family Medicine | Doctors Health Group, Inc | 1995 Hwy 62 412, Highland, AR 72542-9262 |
| Billy Kevin Lynxwiler | Chiropractic | 2499b Hwy 62 412, Highland, AR 72542-9459 | |
| Danny T Speir | Optometry | 1238 Hwy 62-412, Highland, AR 72542-9468 | |
| Charlotte R Pearson | Physical Therapy | Gross Therapy Services Inc | 1243 Hwy 62 412, Suite C, Highland, AR 72542-9469 |
| Stephenia D Terry | Physical Therapy | 1441 Hwy 62 412, Highland, AR 72542-9497 | |
| Brandy N Anderson | Nurse Practitioner | Bradley Bibb Md Pllc | 101 W Main St, Amc Hardy, Hardy, AR 72542-9566 |
| City | HIGHLAND |
| Zip Code | 72542 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HIGHLAND + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on George W 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.