NPI age
20 years
Enumerated 2005-09-08
● Active
Type 1 · Individual
DR. Michael S Jackson, MD
Jackson is 1 of 89 family medicine providers in Rome and 1 of 5448 in Georgia.
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-08-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 5448 active family medicine providers in Georgia.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Practice location
506 Riverside Pkwy Ne, Ste 200
Rome, GA 301612902
Mailing address
Po Box 40
Silver Creek, GA 301730040
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000807474D | |
| 01 | 1164745782 | MEDICARE TYPE 2 ORGANIZATIONAL NPI |
| 01 | 202I080352 | MEDICARE PTAN |
| 05 (GA) | 000807474B | |
| 05 (GA) | 000807474C | |
| 01 | 1306830062 | MEDICARE NPI |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Recently enumerated nearby: 1 new family medicine provider has been added in Rome in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.