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ANTHWAN JACKSON CNIM
NPI 1467757781
Specialist/Technologist, Other - Electroneurodiagnostic in Atlanta, GA

Active since January 18, 2011
3290 NORTHSIDE PKWY NW, SUITE 300, ATLANTA, GA 30327(404) 201-6013 Get Directions Write a Review

NPPES record last updated: January 18, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anthwan Jackson Cnim NPPES

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

ANTHWAN JACKSON CNIM (NPI 1467757781) is an individual electroneurodiagnostic provider in Atlanta, Georgia and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1467757781
Entity TypeIndividualMale
Primary Taxonomy246ZE0600X
Provider Legal NameANTHWAN JACKSONCredential: CNIM
Location Address3290 NORTHSIDE PKWY NW, SUITE 300Atlanta, GA 30327-2273
Mailing Address3290 Northside Pkwy Nw, Suite 300Atlanta, GA 30327-2273 · (404) 201-6013
Phone(404) 201-6013
Sole ProprietorNo
Enumeration DateJanuary 18, 2011
✔ NPI 1467757781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZE0600X
3290 NORTHSIDE PKWY NW, Atlanta, GA 30327
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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.

SCOTT DAVIS PHD, CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
3290 NORTHSIDE PKWY NW, SUITE300
ATLANTA, GA 30327
Fulton County (404) 201-6013
MELISSA STALVEY RN
Specialist/Technologist, Other (Electroneurodiagnostic)
3290 NORTHSIDE PKWY NW, SUITE 300
ATLANTA, GA 30327
Fulton County (404) 201-6013
CHARITY RAGIN
Specialist/Technologist, Other (Electroneurodiagnostic)
3290 NORTHSIDE PKWY NW, SUITE 300
ATLANTA, GA 30327
Fulton County (404) 201-6013
ASIA BAILEY HARRIS
Specialist/Technologist, Other (Electroneurodiagnostic)
3290 NORTHSIDE PKWY NW, SUITE 300
ATLANTA, GA 30327
Fulton County (404) 201-6013
ANNE LUCAS CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
3290 NORTHSIDE PKWY NW, SUITE 300
ATLANTA, GA 30327
Fulton County (404) 201-6013
GREG JOHNSON
Specialist/Technologist, Other (Electroneurodiagnostic)
3290 NORTHSIDE PKWY NW, SUITE 300
ATLANTA, GA 30327
Fulton County (404) 201-6013
AARON LEVIN CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
3290 NORTHSIDE PKWY NW, SUITE 300
ATLANTA, GA 30327
Fulton County (404) 201-6013
THERESA FU
Specialist/Technologist, Other (Electroneurodiagnostic)
3290 NORTHSIDE PKWY NW, SUITE 300
ATLANTA, GA 30327
Fulton County (404) 201-6013

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 Anthwan Jackson's NPI number?

The NPI number for Anthwan Jackson is 1467757781. It was assigned to this individual provider in the NPPES registry on January 18, 2011.

Where is Anthwan Jackson located?

Anthwan Jackson practices at 3290 Northside Pkwy NW Suite 300, Atlanta, GA 30327. The listed phone number is (404) 201-6013.

What is Anthwan Jackson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

When was this NPI record last updated?

The NPPES record for Anthwan Jackson was last updated on January 18, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.