Active NPI
Cheryl Denise Freeman-Jackson, DDS
- General Practice Dentistry
- Columbus, GA
National Provider Identifier
1982865499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 011465
- Practice address
- 2206 Francis St
Columbus, GA 31906 - Phone
- (706) 653-7057
- Fax
- (706) 660-1940
- NPI assigned
- Jun 18, 2008
- Last updated
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 011465 | GA | Primary |
Addresses
Primary practice location
2206 Francis St
Columbus, GA 31906
Mailing address
PO Box 5678
Columbus, GA 31906
Phone (706) 653-7058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009975545 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011465 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1982865499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5678",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "31906",
"telephone_number": "706-653-7058",
"fax_number": "706-660-1940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2206 FRANCIS ST",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "31906",
"telephone_number": "706-653-7057",
"fax_number": "706-660-1940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN-JACKSON",
"first_name": "CHERYL",
"middle_name": "DENISE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "011465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009975545",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
- Carlie Ann Frederick, APRN
- John Frederick Jr., 04/29/2007
- Freds Stores of Tennessee Inc (Freds Pharmacy 2571)
- Freedom Adult Care, Inc.
- Alice McGee Freeland, PT, DPT
- Alexis Caroline Freeman
- Otis Freeman III
- Fresenius Kidney Care Columbus Home, LLC (Fresenius Kidney Care Columbus Home)
- Fresenius Medical Care River City Home, LLC (Fresenius Kidney Care River City Home)
- Ronald G Freund, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.