| Dr Harold Damon Jackson, MD | |
|
2665 N Decatur Rd, Suite 430, Decatur, GA 30033-6149 | |
| (404) 294-4018 | |
| (404) 294-1359 |
| Full Name | Dr Harold Damon Jackson |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 38 Years |
| Location | 2665 N Decatur Rd, Decatur, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164406252 | NPI | - | NPPES |
| 1164406252 | Other | GA | NPI |
| 00421363D | Medicaid | GA | |
| 4365944 | Other | AETNA | |
| 110089544 | Other | GA | RAILROAD MEDICARE |
| 4806794 | Other | UNITED HEALTHCARE | |
| 5931 | Other | GA | KAISER |
| 0932200001 | Other | GA | WORKERS COMPENSATION |
| 479614 | Other | GA | BLUE CROSS BLUE SHIELD |
| 6613810008 | Other | CIGNA | |
| 2598499 | Other | GHI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 032591 (Georgia) | Primary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | 032591 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Longleaf Hospice, Llc | Atlanta, GA | Hospice |
| St. Mary's Good Samaritan Hospital | Greensboro, GA | Hospital |
| Navicent Health Baldwin | Milledgeville, GA | Hospital |
| Piedmont Newton Hospital | Covington, GA | Hospital |
| Piedmont Rockdale Hospital | Conyers, GA | Hospital |
| Putnam General Hospital | Eatonton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Primary Care Professional Services,llc | 9638343924 | 282 |
| Entity Name | Northside Primary Care Professional Services,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Harold Damon Jackson, MD 2665 N Decatur Rd, Suite 430, Decatur, GA 30033-6149 Ph: (404) 294-4018 | Dr Harold Damon Jackson, MD 2665 N Decatur Rd, Suite 430, Decatur, GA 30033-6149 Ph: (404) 294-4018 |
Mr. Ghulam Ghous, M.D Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2712 Lawrenceville Hwy, Decatur, GA 30033 Phone: 770-496-5555 | |
Dr. Ned Wilson Holland, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, Vamc - 11b, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-728-4703 | |
Cedrella Carol Jones-taylor, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, Primary Care, Decatur, GA 30033 Phone: 404-321-6111 | |
Dr. Gary Robert Botstein, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 2712 N Decatur Rd, Decatur, GA 30033 Phone: 404-299-0187 Fax: 404-292-2766 | |
Priti Rajnikant Patel, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Road, Primary Care, Decatur, GA 30033 Phone: 404-321-6111 | |
John Oliga, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4153b Flat Shoals Pkwy, Ste 200, Decatur, GA 30034 Phone: 404-585-5049 Fax: 404-591-0292 | |
Dr. Pojnicha Mekaroonkamol, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 2124 Candler Road, Jencare Neighborhood Medical Center South Dekalb, Llc, Decatur, GA 30032 Phone: 404-836-0272 Fax: 404-836-0289 |