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Active NPI 1548432586 Individual Practitioner Female Practitioner

Kimberly Stewart Jackson , LMT

Massage Therapist • Gray, GA

Professional Overview & Biography Verified Profile Summary

Kimberly Jackson, LMT is a registered healthcare professional specializing in Massage Therapist in Gray, GA. Practice services are available at 247 LANA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

247 Lana Dr

Gray, GA 310325883

Telephone 4789860484
Fax 4789860486
Associated Practice Facility / Clinic
🏢 Ga Pain And Behavioral Medicine Inc. Facility NPI 1952562191

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Gray, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Gray, GA (1356 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

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License GA MT001628

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Thomas Sachy , MD, MSC, PC

Pain Medicine - Pain Medicine

NPI 1962572511

Doctor of Medicine (M.D.), Master of Science, PC

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active March 31, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2008

Registered at 247 LANA DR, GRAY, GA 310325883 (Tel: 4789860484)

📍
Updated Business Mailing Address March 31, 2008

Registered at PO BOX 1726, GRAY, GA 310321726 (Tel: 4789860484)

👤
Provider Name / Credentials Updated March 31, 2008

Recorded as KIMBERLY JACKSON, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2008

Massage Therapist (License #MT001628 in GA)

🟢
Initial NPI Registration & Enumeration March 31, 2008

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: 1548432586
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2008
Last Update: March 31, 2008
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

Po Box 1726

Gray, GA 310321726

Phone: 4789860484

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.