Manekia K Jackson

Primary specialty

HomemakerTaxonomy code 376J00000X

License

20094362 Issued in GA

Practice address

210 Creekside Cir
Austell, GA 30168-5532

Phone

(404) 906-3404

NPI assigned

Feb 6, 2021

Last updated

Feb 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612569600000",
    "number": "1851983324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CREEKSIDE CIR",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301685532",
            "telephone_number": "404-963-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CREEKSIDE CIR",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301685532",
            "telephone_number": "404-906-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MANEKIA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-06",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "GA",
            "license": "20094362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank T Italiano, MD
• Karen Belinda Ivey, FNP-C
• Josephine I Iyabor
• Arlita D Jackson, D.M.D.
• Malia R. Jackson, OTD, OTR/L
• Lakanya Dawnielle Jacobs
• Stephanie Ann Jaipaul, DMD
• Sri Rasmita Jalla
• James a. Sexson, M.D. LLC
• Nicole James Wilson, D.C.

• Homemaker in Austell, GA
• Providers in Austell, GA by specialty
• Homemaker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2021; 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.