Jackson Management Services

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

JACKSON MANAGEMENT SERVICES

Practice address

1533 Haywards Heath LN
Apex, NC 27502-3620

Phone

(919) 931-2669

NPI assigned

Mar 26, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Robert Lee Gibson III

Title

Executive Director

Phone

(919) 522-8635

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1790957017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 HAYWARDS HEATH LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023620",
            "telephone_number": "919-931-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 HAYWARDS HEATH LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023620",
            "telephone_number": "919-931-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-522-8635",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Chase Irons, DPT
• Audrey Isaacs
• Jessica Israel, COTA/L
• Yah'Ala Israel
• Kate Ivers, P.T.
• Deawna Jackson
• Earline Jackson, LPN CMLDT LMT
• Jamie Brown Jackson, C.D., P.C.D.
• Gentry Marie Jacquet
• Varsha Vinit Jalandhara

• Preferred Provider Organization in Apex, NC
• Providers in Apex, NC by specialty
• Preferred Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.