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DR. ANTAURES D JACKSON D.C.
NPI 1710011408
Chiropractor in College Park, GA

Active since March 15, 2007
1720 PHOENIX BLVD, SUITE 450, COLLEGE PARK, GA 30349(770) 909-0590(770) 909-1045 Get Directions Write a Review

NPPES record last updated: January 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Antaures D Jackson D.c. NPPES

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

DR. ANTAURES D JACKSON D.C. (NPI 1710011408) is an individual chiropractor in College Park, Georgia, licensed in Georgia (6713) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1710011408
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. ANTAURES D JACKSONCredential: D.C.
Location Address1720 PHOENIX BLVD, SUITE 450College Park, GA 30349-5594
Mailing Address1720 Phoenix Blvd, Suite 450College Park, GA 30349-5594 · (770) 909-0590 · Fax (770) 909-1045
Phone(770) 909-0590
Fax(770) 909-1045
Sole ProprietorNo
Enumeration DateMarch 15, 2007
Last NPPES UpdateJanuary 26, 2011
✔ NPI 1710011408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · 6713
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.
1720 PHOENIX BLVD, College Park, GA 30349
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Other Identifiers 2

Medicare ID-Type UnspecifiedGRP4391GA
Medicare UPINU83651GA

Other Providers at the Same Location NPPES 13

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

DR. SANDRA WORDLAW-WATKINS M.D.
Family Medicine
1720 PHOENIX BLVD
COLLEGE PARK, GA 30349
Fulton County (770) 997-9928
DR. KAREN YVONNE LUSTER M.D.
Internal Medicine
1720 PHOENIX BLVD, STE 700
COLLEGE PARK, GA 30349
Fulton County (470) 369-7800
DR. JANELLA LYNNE THOMAS-BURSE M.D.
Obstetrics & Gynecology (Gynecology)
1720 PHOENIX BLVD, SUITE 700
COLLEGE PARK, GA 30349
Fulton County (404) 446-4792
MS. KARYN L KOCHAN MS, LPC
Counselor (Professional)
1720 PHOENIX BLVD, STE 540
ATLANTA, GA 30349
Fulton County (770) 875-6376
DR. ALECIA RENEE LOVELADY MD
Obstetrics & Gynecology (Gynecology)
1720 PHOENIX BLVD, SUITE 700
COLLEGE PARK, GA 30349
Fulton County (404) 446-4792
KIDS AVENUE PEDIATRICS LLC
Pediatrics
1720 PHOENIX BLVD
COLLEGE PARK, GA 30349
Fulton County (770) 909-8007
MS. SUSAN RACHELLE WINFIELD L.P.C.
Counselor (Professional)
1720 PHOENIX BLVD, SUITE 540
COLLEGE PARK, GA 30349
Fulton County (770) 909-9500
PHOENIX WOMEN'S CENTER, P.C.
Obstetrics & Gynecology (Gynecology)
1720 PHOENIX BLVD
COLLEGE PARK, GA 30349
Fulton County (404) 446-4792

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 Antaures Jackson's NPI number?

The NPI number for Antaures Jackson is 1710011408. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Antaures Jackson located?

Antaures Jackson practices at 1720 Phoenix Blvd Suite 450, College Park, GA 30349. The listed phone number is (770) 909-0590.

What is Antaures 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 Antaures Jackson was last updated on January 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.