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DR. GARLAND CONWAY JACKSON M.D. NPI 1831159300


NPI Information

NPI: 1831159300
Provider Name: DR. GARLAND CONWAY JACKSON, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Organization: UNITED MEDICAL ASSOCIATES PC

PECOS Registration: Yes

Address:
33-57 HARRISON ST
JOHNSON CITY, NY
ZIP 13790
Phone: (607) 763-6412
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DR. Garland Conway Jackson, M.D. is an emergency medicine in Johnson City, NY with 40 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Garland Conway Jackson, M.D. NPI is 1831159300. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduation Year:1984

The provider's business location address is:

33-57 HARRISON ST
JOHNSON CITY, NY
ZIP 13790-107
Phone: (607) 763-6412
Fax: (607) 763-5854

The NPI 1831159300 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/27/2006 and was last updated on 9/3/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine243575NEW YORKNo
2207P00000XEmergency Medicine243575NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.