Jackson EMS

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

JACKSON EMS

Practice address

2001 Martin Luther King Jr Dr SW Ste 406
Atlanta, GA 30310-5802

Phone

(678) 705-7959

NPI assigned

Dec 28, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Marcus Isaac Jackson

Title

Ceo

Phone

(678) 732-4526

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1750650354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11374",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303100374",
            "telephone_number": "678-732-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARTIN LUTHER KING JR DR SW STE 406",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303105802",
            "telephone_number": "678-705-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "ISAAC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-732-4526",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annanta Jackman
• Summer N. Jackman, SLP
• Devon Nobis Jackoniski, PA
• Anabella Jacks, MD
• Sherri Jacks, LPC
• Julia Jackson King, PT
• Gabrielle Jackson-Campbell, LN
• Talondreya Jackson-Noel
• Joi Jackson-Walker, M.D.
• Algernon Hashim Jackson II

• Ambulance in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.