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NPISignal

Individual Healthcare Provider

Roger Jackson

NPI Record: ActiveRegistered Nurse — Home Health
NPI1720653629
La Follette, Tennessee

Provider's NPPES record last updated: May 24, 2021

Overview

Entity Type
Individual Healthcare Provider
NPI
1720653629
Primary Specialty
Registered Nurse — Home Health
Practice Location
La Follette, Tennessee
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 10:59 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

Provider-Reported License Information

Registered Nurse (Tennessee)
102279
Registered Nurse (Tennessee)
102279
Registered Nurse (Tennessee)
102279
Registered Nurse (Tennessee)
102279
Registered Nurse (Tennessee)
102279
Registered Nurse (Tennessee)
102279
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

171 Noah Ln

La Follette, Tennessee 37766-5575

Phone: (423) 912-5097

Record Information

Enumeration Date
May 24, 2021
Provider's NPPES Record Last Updated
May 24, 2021
Certification Date
May 24, 2021
NPISignal NPPES Dataset
August 2026

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Incorrect provider information

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