ATAVIA JACKSON ST
NPI 1528550209
Contractor in Morven, GA

Active since May 30, 2018
5229 JACKSON RD, MORVEN, GA 31638(229) 561-5507 Get Directions Write a Review

NPPES record last updated: May 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Atavia Jackson St NPPES

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

ATAVIA JACKSON ST (NPI 1528550209) is an individual contractor provider in Morven, Georgia and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1528550209
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameATAVIA JACKSONCredential: ST
Location Address5229 JACKSON RDMorven, GA 31638-3934
Mailing Address5229 Jackson RdMorven, GA 31638-3934 · (229) 561-5507
Sole ProprietorYes
Enumeration DateMay 30, 2018
NPI 1528550209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
5229 JACKSON RD, Morven, GA 31638

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 Atavia Jackson's NPI number?

The NPI number for Atavia Jackson is 1528550209. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Where is Atavia Jackson located?

Atavia Jackson practices at 5229 Jackson Rd, Morven, GA 31638. The listed phone number is (229) 561-5507.

What is Atavia Jackson's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Atavia Jackson was last updated on May 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.