OrganizationActive
Michael S. Jackson, MD, PC
NPI 1164745782 · Family Medicine Physician · Rome, GA
Michael S. Jackson, MD, PC is a Family Medicine Physician organization in Rome, GA (NPI 1164745782).
Provider details
- NPI number
- 1164745782
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Jackson, President(706) 266-9090
- License
- 055376 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
701 E 2nd Ave Sw
Suite C
Rome, GA 30161-6148
Phone: (706) 266-9090
Fax: (706) 204-8797
Street-level locationGet directions
Mailing address
Po Box 40
Silver Creek, GA 30173-0040
Other names (DBA / former)
- Doing business as
- Your Personal Physician
Registry dates
- Enumerated
- 2010-03-10
- Last updated
- 2011-01-20
Frequently asked questions
- What is Michael S. Jackson, MD, PC's NPI number?
- Michael S. Jackson, MD, PC's National Provider Identifier (NPI) is 1164745782, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michael S. Jackson, MD, PC?
- Michael S. Jackson, MD, PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Michael S. Jackson, MD, PC located?
- Michael S. Jackson, MD, PC's practice location on file with NPPES is 701 E 2nd Ave Sw, Rome, GA 30161-6148.
- What is Michael S. Jackson, MD, PC's phone number?
- The practice phone number listed in the NPPES registry for Michael S. Jackson, MD, PC is (706) 266-9090.
- Who is the authorized official for Michael S. Jackson, MD, PC?
- The authorized official listed on Michael S. Jackson, MD, PC's NPPES record is Michael Jackson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michael S. Jackson, MD, PC's NPI active?
- Yes — Michael S. Jackson, MD, PC's NPI (1164745782) is active in the NPPES registry as of the last update on 2011-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.