NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Bethany Wall Jackson, M.D.

Pediatrics Physician in Rome, GA · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033396841

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Registry record

Entity type Individual (Type 1)
Name Dr. Bethany Wall Jackson
Credential M.D.
Sex Female
Practice address 2112 Shorter Ave Nw Ste 240, Rome, GA, 30165
Fax (706) 204-9430
Enumeration date Jan 23, 2008
Last updated in NPPES Apr 16, 2024

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 060642 (GA) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1033396841 active?
Yes, as of the latest NPPES snapshot, NPI 1033396841 is active (record last updated 2024-04-16).
How do I verify Bethany Jackson's NPI record?
Cross-check NPI 1033396841 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-16.