MR. ROBERT WALLACE JACKSON JR.
NPI 1932791993
In Home Supportive Care in Marietta, GA

Q: What is Robert Jackson's NPI number?

The NPI number for Robert Jackson is 1932791993. It was assigned to this individual provider in the NPPES registry on February 10, 2021.

Q: What is Robert Jackson's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Jackson was last updated on February 10, 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.

Active since February 10, 2021

1355 TERRELL MILL RD SE BLDG 1462-125, MARIETTA, GA 30067(470) 632-7400(470) 524-0500 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mr. Robert Wallace Jackson Jr. NPPES

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

MR. ROBERT WALLACE JACKSON JR. (NPI 1932791993) is an individual in home supportive care provider in Marietta, Georgia, licensed in Georgia (PHCP010932) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1932791993

Entity TypeIndividualMale

Primary Taxonomy253Z00000X

Provider Legal NameMR. ROBERT WALLACE JACKSON JR.

Location Address1355 TERRELL MILL RD SE BLDG 1462-125Marietta, GA 30067-5559

Mailing Address1355 Terrell Mill Rd Se Bldg 1462-125Marietta, GA 30067-5559 · (470) 632-7400 · Fax (470) 524-0500

Phone(470) 632-7400

Fax(470) 524-0500

Sole ProprietorYes

Enumeration DateFebruary 10, 2021

NPPES CertifiedFebruary 10, 2021

✔ NPI 1932791993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

License✔ Licensed in GA · PHCP010932

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

1355 TERRELL MILL RD SE BLDG 1462-125, Marietta, GA 30067

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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 Robert Jackson's NPI number?

The NPI number for Robert Jackson is 1932791993. It was assigned to this individual provider in the NPPES registry on February 10, 2021.

Where is Robert Jackson located?

Robert Jackson practices at 1355 Terrell Mill Rd SE Bldg 1462-125, Marietta, GA 30067. The listed phone number is (470) 632-7400.

What is Robert Jackson's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Robert Jackson was last updated on February 10, 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.