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Deactivated NPI 1720398639 Deactivated / Inactive NPI Female Practitioner

Constance Jackson

Case Manager/Care Coordinator • Gainesville, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Constance Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 13, 2010
NPI Deactivation Date December 12, 2017
Total Practice Duration ~7 Years of Practice (2010 – 2017)

Professional Overview & Biography Verified Profile Summary

Constance Jackson was a registered Case Manager/Care Coordinator practicing in Gainesville, FL. Throughout an active medical career spanning 7 years, Constance Jackson provided care at the practice location at 224 SE 24TH ST until profile deactivation on 2017-12-12.

Practice Location & Contact Primary Location

Practice Address

224 Se 24th St

Gainesville, FL 326417516

Telephone 3523347900
Fax 3523348851
Associated Practice Facility / Clinic
🏢 Florida Department Of Health Facility NPI 1457456121

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Gainesville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
221 Specialists

Practicing in Gainesville, FL (5060 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

38 Associated Practitioners
Dr. Caroline Rains , MD

General Practice

NPI 1023034089

Doctor of Medicine (M.D.)

Lynne Webster

Nurse Practitioner

NPI 1023120920
Terri Hutchinson

Health Educator

NPI 1023649019
Zulma Lucca , PA-C

Case Manager/Care Coordinator

NPI 1063549707

Physician Assistant (Certified)

Ryan Mcguire

Health Educator

NPI 1114558012
Stephen Seitz , PA

Physician Assistant

NPI 1154890879

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 12, 2017

Record deactivated on December 12, 2017

NPI Profile Active October 13, 2010

NPI status registered as active in NPPES database

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Updated Practice Location October 13, 2010

Registered at 224 SE 24TH ST, GAINESVILLE, FL 326417516 (Tel: 3523347900)

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Updated Business Mailing Address October 13, 2010

Registered at 224 SE 24TH ST, GAINESVILLE, FL 326417516 (Tel: 3523347900)

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Provider Name / Credentials Updated October 13, 2010

Recorded as CONSTANCE JACKSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2010

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration October 13, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720398639
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2010
Last Update: October 13, 2010
Deactivation Date: December 12, 2017

Mailing Address

224 Se 24th St

Gainesville, FL 326417516

Phone: 3523347900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.