Your Personal Physician
LBN: Michael S. Jackson, Md, Pc
Your Personal Physician is an health care organization with primary practice located at 701 E 2Nd Ave Sw Suite C, Rome GA 30161-6148. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Michael S. Jackson, Md, Pc can be contacted via phone (706) 266-9090, or through Jackson, Michael S via phone (706) 266-9090.
Contact Information
Primary practice address
701 E 2Nd Ave Sw Suite C
Rome GA 30161-6148
Phone: (706) 266-9090
Fax: (706) 204-8797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 055376 | Georgia |
Profile Details
| NPI number | 1164745782 |
|---|---|
| LBN Legal business name | Michael S. Jackson, Md, Pc |
| DBA Doing business as | Your Personal Physician |
| Authorized official | Jackson, Michael S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 10th, 2010 |
| Last updated | Jan 20th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164745782 | NPPES |
| Georgia | Other | 08BBRKT | MEDICARE PTAN |
| Georgia | Other | 1306830062 | MEDICARE PTAN |
Popular Providers
-
S. T. Moss, M.D., P.C.
2016 Redmond Cir Nw , Rome GA 30165-1322 -
Redmond Physician Practice Co Iv
100 John Maddox Dr Nw , Rome GA 30165-1431 -
Raymond C Mckoy, Do, Pc
310 W 10Th St Ne , Rome GA 30165-2639 -
Thomas H. Pierzchala, M.D., P.C.
304A E 2Nd Ave , Rome GA 30161-3222 -
Adventist Health System/Sunbelt, Inc.
435 Turner Mccall Blvd Ne Unit B6-7 , Rome GA 30165-2735 -
Redmond Physician Practice Company
715 E 2Nd Ave Sw , Rome GA 30161-6148 -
Floyd Healthcare Management Inc
420 E 2Nd Ave Suite 103, Rome GA 30161-3224 -
Brown Family Medicine, Llc
20 Riverbend Dr Sw , Rome GA 30161-6066