YOUR PERSONAL PHYSICIAN
NPI 1164745782
Family Medicine in Rome, GA

Active since March 10, 2010
701 E 2ND AVE SW, SUITE C, ROME, GA 30161(706) 266-9090(706) 204-8797 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Your Personal Physician NPPES

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

YOUR PERSONAL PHYSICIAN (NPI 1164745782) is a healthcare organization registered as a family medicine in Rome, Georgia and active in the NPI registry since March 2010. The organization lists Michael S Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1164745782
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMICHAEL S. JACKSON, MD, PC
Location Address701 E 2ND AVE SW, SUITE CRome, GA 30161-6148
Mailing AddressPo Box 40Silver Creek, GA 30173-0040 · (706) 266-9090 · Fax (706) 204-8797
Fax(706) 204-8797
Organization SubpartNo
Authorized OfficialMichael S JacksonPresident · (706) 266-9090
Enumeration DateMarch 10, 2010
Last NPPES UpdateJanuary 20, 2011
NPI 1164745782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 055376
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

701 E 2ND AVE SW, Rome, GA 30161

Other Names 1

Doing Business AsYour Personal Physician

Other Identifiers 3

Medicare UPINC17339GA
Other08BBRKTGA · Medicare Ptan
Other1306830062Medicare Individual Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

Counselor (Mental Health)
701 E 2ND AVE SW
ROME, GA 30161
Counselor (Mental Health)
701 E 2ND AVE SW
ROME, GA 30161
Counselor
701 E 2ND AVE SW, SUITE A
ROME, GA 30161
Counselor (Professional)
701 E 2ND AVE SW, SUITE A
ROME, GA 30161
Counselor (Professional)
701 E 2ND AVE SW, SUITE A
ROME, GA 30161
Social Worker (Clinical)
701 E 2ND AVE SW
ROME, GA 30161
Counselor (Mental Health)
701 E 2ND AVE SW
ROME, GA 30161

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 Michael S. Jackson, MD, PC's NPI number?

The NPI number for Michael S. Jackson, MD, PC is 1164745782. It was assigned to this organization in the NPPES registry on March 10, 2010. The provider is doing business as Your Personal Physician.

Where is Michael S. Jackson, MD, PC located?

Michael S. Jackson, MD, PC is located at 701 E 2nd Ave SW Suite C, Rome, GA 30161. The listed phone number is (706) 266-9090.

What is Michael S. Jackson, MD, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Michael S. Jackson, MD, PC was last updated on January 20, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.