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Active NPI 1568755908 Individual Practitioner Male Practitioner

Michael Walker Jackson , MS, MDIV, NCC, LPC

Counselor - Professional • Dalton, GA

Professional Overview & Biography Verified Profile Summary

Michael Jackson, MS, MDIV, NCC, LPC is a registered healthcare professional specializing in Counselor - Professional in Dalton, GA. Practice services are available at 1200 MEMORIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 Memorial Dr

Dalton, GA 307202529

Telephone 7062726480
Fax 7062726109
Associated Practice Facility / Clinic
🏢 Hamilton Medical Center, Inc. Facility NPI 1528056066

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Dalton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
41 Specialists

Practicing in Dalton, GA (6655 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA 2756

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jessica Sanders , FNP

Nurse Practitioner - Family

NPI 1003231416

Family Nurse Practitioner

Carol Lawrence , CRNA

Registered Nurse

NPI 1013000298

Certified Registered Nurse Anesthetist

Dr. Amy Fouts , DNP, BSN, AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1013476738

Doctor of Nursing Practice, Bachelor of Science in Nursing, Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Quentin Smith , MD

Emergency Medicine

NPI 1023472065

Doctor of Medicine (M.D.)

Ralph Weaver , CRNA

Registered Nurse

NPI 1043303175

Certified Registered Nurse Anesthetist

NPI 1043621642

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 18, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 18, 2011

Registered at 1200 MEMORIAL DR, DALTON, GA 307202529 (Tel: 7062726480)

📍
Updated Business Mailing Address May 18, 2011

Registered at PO BOX 1168, 1200 MEMORIAL DR, DALTON, GA 307221168 (Tel: 7062726480)

👤
Provider Name / Credentials Updated May 18, 2011

Recorded as MICHAEL JACKSON, MS, M.DIV.,NCC, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2011

Counselor (License #2756 in GA)

🟢
Initial NPI Registration & Enumeration May 18, 2011

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: 1568755908
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2011
Last Update: May 18, 2011
Sole Proprietor: Yes

Mailing Address

Po Box 1168, 1200 Memorial Dr

Dalton, GA 307221168

Phone: 7062726480

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.