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KIM JACKSON
NPI 1689269243
Technician - Attendant Care Provider in Grovetown, GA

Active since March 05, 2021
1264 NEWMANTOWN RD, GROVETOWN, GA 30813(706) 833-6879 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kim Jackson NPPES

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

KIM JACKSON (NPI 1689269243) is an individual attendant care provider provider in Grovetown, Georgia and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1689269243
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NameKIM JACKSON
Location Address1264 NEWMANTOWN RDGrovetown, GA 30813-3610
Mailing Address1264 Newmantown RdGrovetown, GA 30813-3610 · (706) 833-6879
Phone(706) 833-6879
Sole ProprietorYes
Enumeration DateMarch 5, 2021
NPPES CertifiedMarch 5, 2021
✔ NPI 1689269243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
1264 NEWMANTOWN RD, Grovetown, GA 30813
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH HARRISON
Technician (Attendant Care Provider)
1264 NEWMANTOWN RD
GROVETOWN, GA 30813
Columbia County (706) 664-3770

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 Kim Jackson's NPI number?

The NPI number for Kim Jackson is 1689269243. It was assigned to this individual provider in the NPPES registry on March 5, 2021.

Where is Kim Jackson located?

Kim Jackson practices at 1264 Newmantown Rd, Grovetown, GA 30813. The listed phone number is (706) 833-6879.

What is Kim Jackson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Kim Jackson was last updated on March 5, 2021. 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.