ROBERT JACKSON
NPI 1407584964
Driver in Conyers, GA
About Robert Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT JACKSON (NPI 1407584964) is an individual driver provider in Conyers, Georgia, licensed in Georgia (061379994) and active in the NPI registry since August 2022.
NPPES Registry Identity
Specialties & Licenses
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 Robert Jackson's NPI number?
The NPI number for Robert Jackson is 1407584964. It was assigned to this individual provider in the NPPES registry on August 12, 2022.
Where is Robert Jackson located?
Robert Jackson practices at 2058 Belmont Cir, Conyers, GA 30012. The listed phone number is (470) 816-8668.
What is Robert Jackson's specialty?
The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.
When was this NPI record last updated?
The NPPES record for Robert Jackson was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Robert Jackson · NPI 1407584964
Driver provider in Conyers, Georgia. Individual provider, active in the CMS NPPES registry since August 12, 2022.
## Identity
- **NPI:** 1407584964 (Entity type: Individual)
- **Enumerated:** August 12, 2022
- **Primary specialty:** Driver · taxonomy 172A00000X
- **State license:** 061379994 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2058 BELMONT CIR, Conyers, GA 30012-7112
- **Phone:** (470) 816-8668
## Record status
- **NPPES last updated:** August 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1407584964) · Data from the CMS NPPES public registry.