DR. MICHAEL S JACKSON MD
NPI 1306830062
Family Medicine in Rome, GA

Q: What is Michael Jackson's NPI number?

The NPI number for Michael Jackson is 1306830062. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Q: What is Michael Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Jackson was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since September 08, 2005

506 RIVERSIDE PKWY NE, STE 200, ROME, GA 30161(706) 266-2383 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Dr. Michael S Jackson Md NPPES

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

DR. MICHAEL S JACKSON MD (NPI 1306830062) is an individual family medicine provider in Rome, Georgia, licensed in Georgia (055376) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1306830062

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MICHAEL S JACKSONCredential: MD

Location Address506 RIVERSIDE PKWY NE, STE 200Rome, GA 30161-2902

Mailing AddressPo Box 40Silver Creek, GA 30173-0040 · (706) 266-9090 · Fax (706) 204-8797

Phone(706) 266-2383

Sole ProprietorYes

Enumeration DateSeptember 8, 2005

Last NPPES UpdateAugust 12, 2019

✔ NPI 1306830062 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.

506 RIVERSIDE PKWY NE, Rome, GA 30161

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Other Identifiers 6

Medicaid000807474CGA

Other202I080352Medicare Ptan

Medicaid000807474BGA

Other1164745782Medicare Type 2 Organizational Npi

Medicaid000807474DGA

Other1306830062Medicare Npi

Other Providers at the Same Location NPPES

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

GARY MARC WETHERINGTON MD

Surgery (Plastic and Reconstructive Surgery)

506 RIVERSIDE PKWY NE, SUITE 200
ROME, GA 30161

Floyd County (706) 291-4334

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 Jackson's NPI number?

The NPI number for Michael Jackson is 1306830062. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Michael Jackson located?

Michael Jackson practices at 506 Riverside Pkwy NE Ste 200, Rome, GA 30161. The listed phone number is (706) 266-2383.

What is Michael Jackson'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 Jackson was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.