Encompass Healthcare, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

051007 Issued in GA

Legal business name

ENCOMPASS HEALTHCARE, PC

Practice address

3006 Dogwood Dr
East Point, GA 30344-3906

Phone

(404) 784-0607

NPI assigned

Jun 28, 2010

Last updated

Jun 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Reginald Roberts Jackson, M.D.

Title

President

Phone

(404) 784-0607

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1881905594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 DOGWOOD DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443906",
            "telephone_number": "404-784-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 DOGWOOD DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443906",
            "telephone_number": "404-784-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCOMPASS HEALTHCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "ROBERTS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-784-0607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "051007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in East Point, GA
• Providers in East Point, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.