MATTIE JACKSON
NPI 1669076345
Pharmacist in Baxley, GA

Active since November 24, 2020
650 MANNING WILLIAMS RD, BAXLEY, GA 31513(912) 286-4739 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mattie Jackson NPPES

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

MATTIE JACKSON (NPI 1669076345) is an individual pharmacist in Baxley, Georgia, licensed in Georgia (RPH014330) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1669076345
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMATTIE JACKSON
Location Address650 MANNING WILLIAMS RDBaxley, GA 31513-7431
Mailing Address19 E Parker StBaxley, GA 31513-0056
Sole ProprietorYes
Enumeration DateNovember 24, 2020
NPPES CertifiedNovember 16, 2020
NPI 1669076345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in GA · RPH014330
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
650 MANNING WILLIAMS RD, Baxley, GA 31513

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 Mattie Jackson's NPI number?

The NPI number for Mattie Jackson is 1669076345. It was assigned to this individual provider in the NPPES registry on November 24, 2020.

Where is Mattie Jackson located?

Mattie Jackson practices at 650 Manning Williams Rd, Baxley, GA 31513. The listed phone number is (912) 286-4739.

What is Mattie Jackson's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Mattie Jackson was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.