Walter Hugh Jackson III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN123898 Issued in GA

Practice address

6783 Veterans Pkwy BLDG 4
Columbus, GA 31909-3254

Phone

(706) 321-3909

NPI assigned

Aug 4, 2025

Sex

Male

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": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1902780828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 EMORY ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319032624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6783 VETERANS PKWY BLDG 4",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093254",
            "telephone_number": "706-321-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "WALTER",
        "middle_name": "HUGH",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Eli Jackson
• Shakiatra Jackson
• Theresa Jackson
• Travis Jackson
• Trina Freeman Jackson
• Walter Lee Jackson II, OD
• Wykey Jackson
• April Michelle Jacobs, M.S.
• Deanna Jacobs, RBT
• Jillian Welch Jacobs, FNP-C

• General Practice Dentistry in Columbus, GA
• Providers in Columbus, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.