NPI age
5 years
Enumerated 2021-02-10
● Active
Type 1 · Individual
MR. Robert Wallace Jackson JR.
Jackson is 1 of 77 in home supportive care providers in Marietta and 1 of 1784 in Georgia.
Primary specialty
In Home Supportive Care
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-02-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1784 active in home supportive care providers in Georgia.
NPI age
5 years
≈ at median (4 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-02Enumerated in NPPES
2021
2026
Where they practice
Practice location
1355 Terrell Mill Rd Se Bldg 1462-125
Marietta, GA 300675559
Mailing address
1355 Terrell Mill Rd Se Bldg 1462-125
Marietta, GA 300675559
Specialties
-
In Home Supportive Care PrimaryAn In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 3 new in home supportive care providers have been added in Marietta 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.