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DR. COURTNEY D. JACKSON MD
NPI 1174202832
Student in an Organized Health Care Education/Training Program in Thomasville, GA

Active since July 11, 2023
915 GORDON AVE, THOMASVILLE, GA 31792(229) 551-2576 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2025, Jul 11, 2023 (2 updates tracked since 2023).

About Dr. Courtney D. Jackson Md NPPES

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

DR. COURTNEY D. JACKSON MD (NPI 1174202832) is an individual student in an organized health care education/training program in Thomasville, Georgia and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1174202832
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. COURTNEY D. JACKSONCredential: MD
Location Address915 GORDON AVEThomasville, GA 31792-6614
Mailing Address2507 Kyle RdValley Grande, AL 36703-8809
Phone(229) 551-2576
Sole ProprietorNo
Enumeration DateJuly 11, 2023
Last NPPES UpdateJune 17, 20252 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1174202832 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.
915 GORDON AVE, Thomasville, GA 31792
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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.

MADISON GRACE MAXWELL NP
Nurse Practitioner (Family)
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2435
DR. PRASHANT BALIGA M.D.
Internal Medicine
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-8575
DR. CAMILLE DOMINGO MD
Student in an Organized Health Care Education/Training Program
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2000
MELINDA GREENE
Occupational Therapist
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2823
GEREN THOMAS PHARMD
Pharmacist
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2948
DANIEL JOSE TORRES
Student in an Organized Health Care Education/Training Program
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2000
GARY DAVIDUK CRNA
Nurse Anesthetist, Certified Registered
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2000
JACKSON SETH TUCKER AA
Anesthesiologist Assistant
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (800) 232-5703

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 Courtney Jackson's NPI number?

The NPI number for Courtney Jackson is 1174202832. It was assigned to this individual provider in the NPPES registry on July 11, 2023.

Where is Courtney Jackson located?

Courtney Jackson practices at 915 Gordon Ave, Thomasville, GA 31792. The listed phone number is (229) 551-2576.

What is Courtney Jackson'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 Courtney Jackson was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.