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Antaures Jackson, D.C.
NPI 1710011408 · Chiropractor · College Park, GA
Antaures Jackson, D.C. is a Chiropractor provider in College Park, GA (NPI 1710011408).
Provider details
- NPI number
- 1710011408
- Entity type
- Individual
- Primary specialty
- ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- License
- 6713 (GA)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1720 Phoenix Blvd
Suite 450
College Park, GA 30349-5594
Phone: (770) 909-0590
Fax: (770) 909-1045
Street-level locationGet directions
Mailing address
1720 Phoenix Blvd
College Park, GA 30349-5594
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2011-01-26
Frequently asked questions
- What is Antaures Jackson's NPI number?
- Antaures Jackson's National Provider Identifier (NPI) is 1710011408, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Antaures Jackson's specialty?
- Antaures Jackson is listed in the NPPES registry with a primary specialty of Chiropractor (Chiropractic Providers).
- Where is Antaures Jackson located?
- Antaures Jackson's practice location on file with NPPES is 1720 Phoenix Blvd, College Park, GA 30349-5594.
- What is Antaures Jackson's phone number?
- The practice phone number listed in the NPPES registry for Antaures Jackson is (770) 909-0590.
- Is Antaures Jackson's NPI active?
- Yes — Antaures Jackson's NPI (1710011408) is active in the NPPES registry as of the last update on 2011-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.