Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Robert Earl Jackson Jr.

Individual provider Community Health Worker · NPI 1780005496

Mr. Robert Earl Jackson Jr. is a Community Health Worker in Columbus, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013

Practice location Address checks out

17 Wickham Dr
Columbus, GA 31907-6328
Phone: (706) 689-6676
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 034283667 (GA)

Record details

NPI number1780005496
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 23, 2013
Last updated in NPPESDecember 23, 2013
Mailing address17 Wickham Dr, Columbus, GA 31907-6328

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