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NPI · 1295316511 · NPPES-sourced

Latrese Jackson

ActiveProsthetic/Orthotic Supplier
NPI Number
1295316511
Type 1 · Individual
Taxonomy Code
335E00000X
Contact
(478) 250-4601
Primary practice line
Last Updated
Enumerated
Primary practice addressGA · 31052-3550
2324 Gwendale Dr WLizella, GA 31052-3550
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About this NPIWhat this record shows.

NPI 1295316511 is registered to Latrese Jackson, a Prosthetic/Orthotic Supplier practising at 2324 Gwendale Dr W in Lizella, Georgia. Prosthetic/Orthotic Supplier is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Latrese Jackson has been enumerated in the National Provider Identifier (NPI) registry since 2021.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Latrese Jackson accepts. To confirm in-network status with your specific health plan, contact Latrese Jackson directly at (478) 250-4601.

Frequently asked

Yes. NPI 1295316511 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Prosthetic/Orthotic Supplier is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (478) 250-4601.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Latrese Jackson is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy335E00000X
Last updated
Enumerated
StatusActive
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