IndividualActive
Mattie Jackson
NPI 1669076345 · Pharmacist · Baxley, GA
Mattie Jackson is a Pharmacist provider in Baxley, GA (NPI 1669076345).
Provider details
- NPI number
- 1669076345
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- RPH014330 (GA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
650 Manning Williams Rd
Baxley, GA 31513-7431
Phone: (912) 286-4739
Street-level locationGet directions
Mailing address
19 E Parker St
Baxley, GA 31513-0056
Registry dates
- Enumerated
- 2020-11-24
- Last updated
- 2020-11-24
- Certified
- 2020-11-16
Frequently asked questions
- What is Mattie Jackson's NPI number?
- Mattie Jackson's National Provider Identifier (NPI) is 1669076345, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mattie Jackson's specialty?
- Mattie Jackson is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Mattie Jackson located?
- Mattie Jackson's practice location on file with NPPES is 650 Manning Williams Rd, Baxley, GA 31513-7431.
- What is Mattie Jackson's phone number?
- The practice phone number listed in the NPPES registry for Mattie Jackson is (912) 286-4739.
- Is Mattie Jackson's NPI active?
- Yes — Mattie Jackson's NPI (1669076345) is active in the NPPES registry as of the last update on 2020-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.