Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL S JACKSON, MD
Active Sole ProprietorDR. MICHAEL S JACKSON, MD is a Family Medicine healthcare provider located in ROME, Georgia. NPI 1306830062 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ROME, GA
Registration Details
- NPI Number
- 1306830062
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 8, 2005 (20.915980872146 yrs)
- Last Updated
- Aug 12, 2019
- License
-
055376 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
506 RIVERSIDE PKWY NESTE 200ROME, GA, 301612902Browse GA providers · Browse ZIP 30161
- Phone
- 7062662383
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in ROME, GA
| Name | Credential | NPI |
|---|---|---|
| JOHN J DESMOND IV | MD | 1033112438 |
| NATASHA AMANDA SANDS | MD | 1932104924 |
| JOHNATHAN EDWARD HENDERSON | M.D. | 1154327856 |
| DR. FRANK R DON DIEGO | MD | 1114925872 |
| MR. EDWARD E MEIER | M.D. | 1376537084 |
| SHALINI GAVVA REDDY | MD | 1811982770 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.