Jackson T. Giles, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

015470 Issued in GA

Practice address

15 Cavender St
Newnan, GA 30263-1931

Phone

(770) 253-6616

NPI assigned

Dec 1, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Papp Clinic

  • Internal Medicine Physician
  • Newnan, GA
  • NPI 1336123736

  Ophthalmology

  NPD
• Papp Clinic Laboratory

  • Clinical Medical Laboratory
  • Newnan, GA
  • NPI 1932353042
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1124002407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CAVENDER ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631931",
            "telephone_number": "770-253-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CAVENDER ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631931",
            "telephone_number": "770-253-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILES",
        "first_name": "JACKSON",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "015470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00153381A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norman Miller Gibby Jr., P.A.
• Christy Howard Gibson, CRNP
• Connie Gibson, LPC
• Giggles and Goals Autism Therapy, LLC
• Maurice Benard Gilbert, MD
• Amanda J Gillis, BCBA
• Matthew J Gimpert, MD
• Ashlee Gipson, RBT, BS
• Heather Gladney
• Kassie Gleeson, FNP-C

• All providers in Newnan, GA
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.