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SAMUEL LEE JACKSON
NPI 1942181839
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since September 09, 2025
3001 MERCER UNIVERSITY DR, ATLANTA, GA 30341(678) 547-5214(678) 547-6509 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Samuel Lee Jackson NPPES

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

SAMUEL LEE JACKSON (NPI 1942181839) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1942181839
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL LEE JACKSON
Location Address3001 MERCER UNIVERSITY DRAtlanta, GA 30341-4115
Mailing Address3001 Mercer University DrAtlanta, GA 30341-4115 · (678) 547-5214 · Fax (678) 547-6509
Phone(678) 547-5214
Fax(678) 547-6509
Sole ProprietorNo
Enumeration DateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
✔ NPI 1942181839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other Providers at the Same Location NPPES 20

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

DR. MICHELL B BUTLER PHARM.D.
Pharmacist
3001 MERCER UNIVERSITY DR, PHARMACY PRACTICE
ATLANTA, GA 30341
Dekalb County (678) 547-6382
YUHSUAN KUNG
Physician Assistant
3001 MERCER UNIVERSITY DR
ATLANTA, GA 30341
Dekalb County (800) 637-2378
DR. JEFFREY EBERT P.T., D.P.T., O.C.S.
Physical Therapist (Orthopedic)
3001 MERCER UNIVERSITY DR
ATLANTA, GA 30341
Dekalb County (678) 547-6549
DEBORAH MICHAEL WENDLAND PT, DPT
Physical Therapist
3001 MERCER UNIVERSITY DR, DAVIS BUILDING, SUITE 100
ATLANTA, GA 30341
Dekalb County (678) 547-6775
DR. NICHOLAS ORTON PT
Physical Therapist
3001 MERCER UNIVERSITY DR, DAVIS BUILDING SUITE 106
ATLANTA, GA 30341
Dekalb County (678) 547-6439
NIAMH TUNNEY PT
Physical Therapist (Neurology)
3001 MERCER UNIVERSITY DR, SUITE 106 DAVIS BUILDING
ATLANTA, GA 30341
Dekalb County (678) 547-6439
DR. SHAYLA MONROE DNP, FNP
Nurse Practitioner (Family)
3001 MERCER UNIVERSITY DR
ATLANTA, GA 30341
Dekalb County (678) 547-6130
DR. NICOLE LEYLAND METZGER PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3001 MERCER UNIVERSITY DR, DEPARTMENT OF PHARMACY PRACTICE, DUVALL BUILDING
ATLANTA, GA 30341
Dekalb County (678) 547-6210

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 Samuel Jackson's NPI number?

The NPI number for Samuel Jackson is 1942181839. It was assigned to this individual provider in the NPPES registry on September 9, 2025.

Where is Samuel Jackson located?

Samuel Jackson practices at 3001 Mercer University Dr, Atlanta, GA 30341. The listed phone number is (678) 547-5214.

What is Samuel Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samuel Jackson was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.