| Dr Tanjela M Jackson, MD | |
|
3620 M L King Jr Dr Sw, Atlanta, GA 30331-3711 | |
| (404) 696-7300 | |
| (404) 699-3514 |
| Full Name | Dr Tanjela M Jackson |
|---|---|
| Gender | Female |
| Speciality | Nephrology |
| Experience | 32 Years |
| Location | 3620 M L King Jr Dr Sw, Atlanta, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265420574 | NPI | - | NPPES |
| 2490487 | Other | GA | UNITED HEALTH CARE |
| 748360477F | Medicaid | GA | |
| 748360477H | Medicaid | GA | |
| 748360477 | Medicaid | GA | |
| 7889745 | Other | GA | AETNA |
| 52152577 | Other | GA | BCBS |
| 7368440 | Other | GA | CIGNA |
| 748360477G | Medicaid | GA | |
| 748360477K | Medicaid | GA | |
| 748360477E | Medicaid | GA | |
| 748360477I | Medicaid | GA | |
| 748360477J | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 054755 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Decatur Dialysis Center | Decatur, GA | Dialysis facility |
| Mcafee Dialysis | Decatur, GA | Dialysis facility |
| Dialysis Of Lithonia | Decatur, GA | Dialysis facility |
| Odiorne Dialysis | Decatur, GA | Dialysis facility |
| Emory Decatur Hospital | Decatur, GA | Hospital |
| Emory University Hospital Midtown | Atlanta, GA | Hospital |
| Emory Hillandale Hospital | Lithonia, GA | Hospital |
| Piedmont Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Atlanta Nephrology, Pc | 2062315088 | 9 |
| Entity Name | Southwest Atlanta Nephrology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992756894 PECOS PAC ID: 2062315088 Enrollment ID: O20040128000750 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tanjela M Jackson, MD 3620 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3711 Ph: (404) 696-7300 | Dr Tanjela M Jackson, MD 3620 M L King Jr Dr Sw, Atlanta, GA 30331-3711 Ph: (404) 696-7300 |
Khadeja Jamilia Johnson, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1800 Howell Mill Rd Nw Ste 275, Atlanta, GA 30318 Phone: 404-756-1290 | |
Dr. Matthew J. Wilson, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 Phone: 404-252-7970 Fax: 404-250-0553 | |
Dr. Shannon Walker Ike, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303 Phone: 404-616-1000 | |
Kajal Patel, M.D, M.P.H Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1525 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-2700 | |
Dr. Earl Stewart Jr., M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2850 Paces Ferry Rd Se Ste 460, Atlanta, GA 30339 Phone: 678-556-4950 | |
Ms. Charvette Gaitone Shumaker-kirk, AGACNP-; AGPCNP Nephrology Medicare: Accepting Medicare Assignments Practice Location: 36 Linden Ave Ne, Atlanta, GA 30308 Phone: 404-778-1900 | |
Mary E. Bergh, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 980 Johnson Ferry Rd Ste 520, Atlanta, GA 30342 Phone: 404-303-3320 Fax: 404-303-3464 |