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JACKSON WADE MCCLAIN
NPI 1063301026
Student in an Organized Health Care Education/Training Program in Augusta, GA

Active since July 02, 2025
1120 15TH ST, AUGUSTA, GA 30912(706) 721-3186 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Wade Mcclain NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON WADE MCCLAIN (NPI 1063301026) is an individual student in an organized health care education/training program in Augusta, Georgia and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1063301026
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACKSON WADE MCCLAIN
Location Address1120 15TH STAugusta, GA 30912-0004
Mailing Address1120 15th StAugusta, GA 30912-0004 · (706) 721-3186
Phone(706) 721-3186
Sole ProprietorNo
Enumeration DateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
✔ NPI 1063301026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1120 15TH ST, Augusta, GA 30912
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TOYA HESTER KELLEY MD
Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-3157
DR. JACK BRADLEY ELLIS D.O.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
MR. ROBERT SCOTT SMITH FNP-C
Nurse Practitioner (Family)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8549
SAMI MOHAMMED ALSHEHRY
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Richmond County (706) 721-2411
LUIS ALBERTO VELASQUEZ ZARATE M.D
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-2771
DR. BRYAN RICHARD BROACH M.D.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
JANELLE MCGILL M.D.
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
DR. KAYLA ASHLEY SHAHBAZIAN DO
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Mcclain's NPI number?

The NPI number for Jackson Mcclain is 1063301026. It was assigned to this individual provider in the NPPES registry on July 2, 2025.

Where is Jackson Mcclain located?

Jackson Mcclain practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-3186.

What is Jackson Mcclain's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jackson Mcclain was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.