Valerie Cannon Jackson

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1815 N Expressway Ste B
Griffin, GA 30223-1185

Phone

(678) 408-4622

NPI assigned

Jan 7, 2020

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brighter Tomorrows Behavioral Health Services

  • Community/Behavioral Health Agency
  • Griffin, GA
  • NPI 1447895107
  NPD

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1952941007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 N EXPRESSWAY STE B",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302231185",
            "telephone_number": "678-408-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 N EXPRESSWAY STE B",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302231185",
            "telephone_number": "678-408-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "VALERIE",
        "middle_name": "CANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunday Imafidon
• Independent Physical Therapy of Georgia, LLC
• Ingles Markets Inc
• Internal Medicine of Griffin
• Iris City Chiropractic Center
• James E Clark
• Jonet James, PHYSICAL THERAPIST
• Heather Suzanne Jarrell, RD, LD
• JDD Anesthesia, LLC
• Jacqueline Lee Jester, NP-C

• All providers in Griffin, GA
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.