Michael Joseph Jackson (NPI# 1730268046, PAC ID# 9638342934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1730268046 |
| PAC ID by PECOS | 9638342934 |
| Professional Enrollment ID | I20111102000341 |
| Full Name | Michael Joseph Jackson |
| Address |
5311 Paulsen St Savannah GA 31405-4800 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110024 | CANDLER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5311 Paulsen St, Savannah, GA 31405-4800 |
| Street Address |
5311 PAULSEN ST |
| City | SAVANNAH |
| State | GA |
| Zip | 31405-4800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marianne M Fleming | Internal Medicine | Sjc Medical Group, Inc | 836 E, 65th Suite 30, Savannah, GA 31405 |
| Julia Johnson | Hospice/palliative Care | Steward Center for Palliative Care | 5353 Reynolds Ave, Savannah, GA 31405 |
| Sandra W Gordon-kolb | Internal Medicine | Steward Center for Palliative Care | 5353 Reynolds Ave, Savannah, GA 31405 |
| Kristina N Johnson | Family Medicine | Savannah Primary Care Associates LLC | 3776 Hwy 17 S, Savannah, GA 31405-1310 |
| Lakeia M Manor | Chiropractic | Manor Chiropractic LLC | 3025 Bull St, Savannah, GA 31405-2016 |
| Jason Miller | Physician Assistant | Chatham Orthopaedic Associates Pa | 4425 Paulsen St, A, Savannah, GA 31405-3637 |
| Mary Ann Kilgore | Physical Therapy | Chatham Orthopaedic Associates Pa | 4425 Paulsen St, A, Savannah, GA 31405-3637 |
| Emma Katherine L Mcintosh | Physician Assistant | Chatham Orthopaedic Associates Pa | 4425 Paulsen St, A, Savannah, GA 31405-3637 |
| Ray L Wallace | Physician Assistant | Chatham Orthopaedic Associates Pa | 4425 Paulsen St, A, Savannah, GA 31405-3637 |
| Andrew Vincent Grosse | Physician Assistant | Chatham Orthopaedic Associates Pa | 4425 Paulsen St, A, Savannah, GA 31405-3637 |
| Find all physicians in zip 31405 | |||
| City | SAVANNAH |
| Zip Code | 31405 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | SAVANNAH + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Michael Joseph 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.