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Deactivated NPI 1487873634 Deactivated / Inactive NPI Female Practitioner

Clara Jackson

Skilled Nursing Facility • Macon, GA

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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, Clara Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 25, 2007
NPI Deactivation Date March 27, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Clara Jackson was a registered Skilled Nursing Facility practicing in Macon, GA. Throughout an active medical career spanning 10 years, Clara Jackson provided care at the practice location at 4408 HOUSTON AVE until profile deactivation on 2017-03-27.

Practice Location & Contact Primary Location

Practice Address

4408 Houston Ave

Macon, GA 31206

Telephone 4787817091
Fax 4787814606

Specialty Benchmarks & Practice Insights

Comparative analytics for Skilled Nursing Facility in Macon, GA

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

Practicing in Macon, GA (10 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

Skilled Nursing Facility Primary Specialty

NUCC Taxonomy Code: 314000000X

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

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 March 27, 2017

Record deactivated on March 27, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4408 HOUSTON AVE, MACON, GA 31206 (Tel: 4787817091)

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Updated Business Mailing Address July 08, 2007

Registered at 4408 HOUSTON AVE, MACON, GA 31206 (Tel: 4787817091)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CLARA JACKSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Skilled Nursing Facility

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Initial NPI Registration & Enumeration April 25, 2007

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: 1487873634
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2007
Last Update: July 08, 2007
Deactivation Date: March 27, 2017

Mailing Address

4408 Houston Ave

Macon, GA 31206

Phone: 4787817091

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.