ROGER LEE JACKSON II
NPI 1881214872
Emergency Medical Technician, Intermediate in Atlanta, GA

Active since April 20, 2020
713 CLIFTON RD SE, ATLANTA, GA 30316(404) 246-5444 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roger Lee Jackson Ii NPPES

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

ROGER LEE JACKSON II (NPI 1881214872) is an individual emergency medical technician, intermediate provider in Atlanta, Georgia, licensed in Georgia (40076) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1881214872
Entity TypeIndividualMale
Primary Taxonomy146M00000X
Provider Legal NameROGER LEE JACKSON II
Location Address713 CLIFTON RD SEAtlanta, GA 30316-2229
Mailing Address713 Clifton Rd SeAtlanta, GA 30316-2229 · (404) 246-5444
Sole ProprietorYes
Enumeration DateApril 20, 2020
NPPES CertifiedApril 20, 2020
NPI 1881214872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency Medical Technician, IntermediateEmergency Medical Service Providers
Taxonomy Code146M00000X
License Licensed in GA · 40076
Definition
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
713 CLIFTON RD SE, Atlanta, GA 30316

Other Providers at the Same Location NPPES

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

Ambulance (Land Transport)
713 CLIFTON RD SE
ATLANTA, GA 30316

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 Roger Jackson's NPI number?

The NPI number for Roger Jackson is 1881214872. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Where is Roger Jackson located?

Roger Jackson practices at 713 Clifton Rd SE, Atlanta, GA 30316. The listed phone number is (404) 246-5444.

What is Roger Jackson's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Intermediate with taxonomy code 146M00000X.

When was this NPI record last updated?

The NPPES record for Roger Jackson was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.