Ms Jennifer Jacqueline Jackson, PA is a medicare enrolled "Physician Assistant" physician in Atlanta, Georgia. Her current practice location is
2001 Peachtree Rd Ne Ste 645, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 605-2050.
Ms Jennifer Jacqueline Jackson is licensed to practice in Georgia (license number 002415) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235196684.
Physician's Profile
Full Name | Ms Jennifer Jacqueline Jackson |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2001 Peachtree Rd Ne Ste 645, 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. |
NPI Data:
- NPI Number: 1235196684
- Provider Enumeration Date: 04/28/2006
- Last Update Date: 07/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 7911078712
- Enrollment ID: I20080623000392
Medical Identifiers
Medical identifiers for Ms Jennifer Jacqueline Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235196684 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RX0202X | Internal Medicine - Medical Oncology | 002415 (Georgia) | Secondary |
363A00000X | Physician Assistant | 002415 (Georgia) | Primary |
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. Ms Jennifer Jacqueline 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 |
Ms Jennifer Jacqueline Jackson, PA 2001 Peachtree Rd Ne Ste 645, Atlanta, GA 30309-1476 Ph: () - | Ms Jennifer Jacqueline Jackson, PA 2001 Peachtree Rd Ne Ste 645, Atlanta, GA 30309-1476 Ph: (404) 605-2050 |
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