Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033396841 Individual Practitioner Female Practitioner

Dr. Bethany Wall Jackson , MD

Pediatrics • Rome, GA

Professional Overview & Biography Verified Profile Summary

Dr. Bethany Jackson, MD is a registered healthcare professional specializing in Pediatrics in Rome, GA. Practice services are available at 2112 SHORTER AVE NW STE 240 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2112 Shorter Ave Nw Ste 240

Rome, GA 301652042

Telephone 7063688575
Fax 7062049430
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Rome, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.0 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Rome, GA (2326 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

CMS Verified: 2024-04-16
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 060642

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location April 16, 2024

Registered at 2112 SHORTER AVE NW STE 240, ROME, GA 301652042 (Tel: 7063688575)

📍
Updated Business Mailing Address April 16, 2024

Registered at PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703 (Tel: 7066027800)

📍
Updated Business Mailing Address November 18, 2022

Registered at 420 E 2ND AVE STE 103, ROME, GA 301613210 (Tel: 7065093000)

📍
Updated Practice Location July 01, 2022

Registered at 304 SHORTER AVE NW STE 105, ROME, GA 301654256 (Tel: 7062914880)

NPI Profile Active March 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2017

Registered at 330 TURNER MCCALL BLVD SW, SUITE 205, ROME, GA 301655630 (Tel: 7062342324)

📍
Updated Business Mailing Address March 22, 2017

Registered at 420 E 2ND AVE, SUITE 103, ROME, GA 301613209 (Tel: 7065093000)

👤
Provider Name / Credentials Updated March 22, 2017

Recorded as BETHANY JACKSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2017

Pediatrics (License #060642 in GA)

NPI Profile Active August 14, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2015

Registered at 330 TURNER MCCALL BLVD SW, SUITE 205, ROME, GA 301655630 (Tel: 7062342324)

📍
Updated Business Mailing Address August 14, 2015

Registered at 420 E 2ND AVE, SUITE 103, ROME, GA 301613209 (Tel: 7065093000)

👤
Provider Name / Credentials Updated August 14, 2015

Recorded as BETHANY JACKSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2015

Pediatrics (License #001443 in GA)

🟢
Initial NPI Registration & Enumeration January 23, 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: 1033396841
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2008
Last Update: April 16, 2024
Sole Proprietor: No

Mailing Address

Po Box 12938, C/o Clinic Management

Calhoun, GA 30703

Phone: 7066027800

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.