Christophe Eugene Jackson, PA is a medicare enrolled "Physician Assistant" physician in Atlanta, Georgia. His current practice location is
2001 Peachtree Rd Ne Ste 575, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(678) 904-7158.
Christophe Eugene Jackson is licensed to practice in Georgia (license number 9212) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982185443.
Physician's Profile
| Full Name | Christophe Eugene Jackson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 2001 Peachtree Rd Ne Ste 575, Atlanta, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1982185443
- Provider Enumeration Date: 08/23/2018
- Last Update Date: 10/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 5890048557
- Enrollment ID: I20181025001907
Medical Identifiers
Medical identifiers for Christophe Eugene Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982185443 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084A2900X | Psychiatry & Neurology - Neurocritical Care | 80827 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | 9212 (Georgia) | Primary |
| 2084A2900X | Psychiatry & Neurology - Neurocritical Care | PA0006179 (Colorado) | Secondary |
| 363A00000X | Physician Assistant | 8683 (Wisconsin) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christophe Eugene Jackson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Christophe Eugene Jackson, PA
10099 Ridgegate Pkwy Ste 480,
Lone Tree, CO 80124-5537
Ph: (720) 599-3074 | Christophe Eugene Jackson, PA
2001 Peachtree Rd Ne Ste 575,
Atlanta, GA 30309-1476
Ph: (678) 904-7158 |
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