DR. TERESA DANIELLE JACKSON D.C.
NPI 1477881696
Chiropractor in Decatur, GA

Q: What is Teresa Jackson's NPI number?

The NPI number for Teresa Jackson is 1477881696. It was assigned to this individual provider in the NPPES registry on November 29, 2009.

Q: What is Teresa Jackson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Teresa Jackson was last updated on July 21, 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.

Active since November 29, 2009

5304 PANOLA INDUSTRIAL BLVD STE E, DECATUR, GA 30035(404) 445-5032(404) 845-7834 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 21, 2022, Jul 26, 2017 (2 updates tracked since 2017).

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About Dr. Teresa Danielle Jackson D.c. NPPES

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

DR. TERESA DANIELLE JACKSON D.C. (NPI 1477881696) is an individual chiropractor in Decatur, Georgia, licensed in Georgia (CHIR008462) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1477881696

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDR. TERESA DANIELLE JACKSONCredential: D.C.

Location Address5304 PANOLA INDUSTRIAL BLVD STE EDecatur, GA 30035-4065

Mailing Address15 Gum Creek LndgOxford, GA 30054-2743 · (347) 893-0213 · Fax (770) 817-0832

Phone(404) 445-5032

Fax(404) 845-7834

Sole ProprietorYes

Enumeration DateNovember 29, 2009

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1477881696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in GA · CHIR008462

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

5304 PANOLA INDUSTRIAL BLVD STE E, Decatur, GA 30035

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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 Teresa Jackson's NPI number?

The NPI number for Teresa Jackson is 1477881696. It was assigned to this individual provider in the NPPES registry on November 29, 2009.

Where is Teresa Jackson located?

Teresa Jackson practices at 5304 Panola Industrial Blvd Ste E, Decatur, GA 30035. The listed phone number is (404) 445-5032.

What is Teresa Jackson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Teresa Jackson was last updated on July 21, 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.