Active NPI
Torry Jackson
- Phlebotomy Technician
- Camilla, GA
National Provider Identifier
1467320507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 5881283394TJ
- Practice address
- 192 E Broad St
Camilla, GA 31730-1970 - Phone
- (844) 567-3635
- Fax
- (229) 330-2014
- NPI assigned
- Oct 29, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 5881283394TJ | GA | Primary |
Addresses
Primary practice location
192 E Broad St
Camilla, GA 31730-1970
Mailing address
192 E Broad St
Camilla, GA 31730-1970
Phone (844) 567-3635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5881283394TJ | GA | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1467320507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 E BROAD ST",
"city": "CAMILLA",
"state": "GA",
"postal_code": "317301970",
"telephone_number": "844-567-3635",
"fax_number": "229-330-2014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 E BROAD ST",
"city": "CAMILLA",
"state": "GA",
"postal_code": "317301970",
"telephone_number": "844-567-3635",
"fax_number": "229-330-2014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "TORRY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-29",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "GA",
"license": "5881283394TJ",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camilla, GA
- Hospital Authority of Mitchell County
- Hospital Authority of Mitchell County
- Innovative Solutions Personal Care Home
- J Larry Pritchett O D P C
- Shenika Laverne Jackson, O.T.
- Keith Lanel Jenkins Sr., BSW
- JHM,Inc.
- John D. Archbold Memorial Hospital, Inc.
- John D. Archbold Memorial Hospital, Inc.
- Brian Johnson, BA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.