DR. BRENDAN ROBERT JACKSON (NPI# 1215111414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215111414 |
| Entity Type | Individual |
| Full Name | DR. BRENDAN ROBERT JACKSON |
| Credential | M.D. |
| Practice Address |
1600 Clifton Rd Ne Ms E-92 Atlanta GA 30329-4018 |
| Practice Telephone | 4044981829 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2013-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 064571 | GA | Allopathic & Osteopathic Physicians |
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
064571 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1600 CLIFTON RD NE MS E-92 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-4018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982693347 | Aimee E. A. Anido | Genetic Counselor, MS | 1600 Clifton Rd Ne, Mail-stop E86, Atlanta, GA 30329-4018 | 2005-10-18 |
| 1568977346 | Benedict Ignatius Truman | Preventive Medicine | 1600 Clifton Rd Ne, Atlanta, GA 30329-4018 | 2017-12-03 |
| 1437675568 | Jasmine Agostino | Social Worker | 1600 Clifton Rd Ne, Atlanta, GA 30329-4018 | 2017-08-21 |
| 1972039386 | Michelle Chang | Internal Medicine | 1600 Clifton Rd Ne, Mailstop A-06, Atlanta, GA 30329-4018 | 2017-05-04 |
| 1336692193 | Shua Chai | Preventive Medicine | 1600 Clifton Rd Ne, Ms E-98, Atlanta, GA 30329-4018 | 2016-07-28 |
| 1235580796 | Us Public Health Service | Public Health or Welfare | 1600 Clifton Rd Ne, Mailstop A-19, Atlanta, GA 30329-4018 | 2016-06-27 |
| 1437514031 | James Alec Ellison Jr. | Specialist | 1600 Clifton Rd Ne, Mailstop G33, Atlanta, GA 30329-4018 | 2015-12-23 |
| 1053708768 | Michael Francis Melgar | Internal Medicine | 1600 Clifton Rd Ne, Atlanta, GA 30329-4018 | 2015-04-20 |
| 1881091361 | Rajni Gunnala | Pediatrics | 1600 Clifton Rd Ne, Clifton Campus; Bldg 21; Ms A-04, Atlanta, GA 30329-4018 | 2014-11-26 |
| 1649687419 | James Alexander Jr. | Preventive Medicine | 1600 Clifton Rd Ne, Mailstop A-04, Atlanta, GA 30329-4018 | 2014-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033749288 | Atlanta Clinical Research Centers LLC | Preventive Medicine | 5673 Peachtree Dunwoody Rd Ste 440a, Atlanta, GA 30342-1797 | 2020-01-16 |
| 1316433105 | Thomas Boggs Richards | Preventive Medicine | 2067 Amberwood Way Ne, Atlanta, GA 30345-3903 | 2018-07-05 |
| 1871016592 | Sonja Suzzete Hutchins | Preventive Medicine | 435 Joseph E Lowery Blvd Sw, Atlanta, GA 30310-1471 | 2017-07-25 |
| 1619336286 | Antonio Neri | Preventive Medicine | 1600 Clifton Rd Ne # Mse-92, Atlanta, GA 30329-4018 | 2016-02-11 |
| 1962899948 | William Dana Flanders | Preventive Medicine | 2419 Highland Grv Ne, Atlanta, GA 30345-3895 | 2015-04-17 |
| 1396144143 | Marilyn Szymialis Radke | Preventive Medicine | 2330 N Peachtree Ct, Atlanta, GA 30338-5960 | 2014-08-18 |
| 1336551191 | Arthur Liang | Preventive Medicine | 422 Londonberry Rd, Atlanta, GA 30327-4952 | 2014-05-28 |
| 1053654491 | Cynthia Jean Berg | Preventive Medicine | 1787 Council Bluff Dr Ne, Atlanta, GA 30345-4139 | 2013-04-04 |
| 1124361860 | Frank L Mitchell | Preventive Medicine | 412 Glencastle Dr Nw, Atlanta, GA 30327-4828 | 2013-04-01 |
| 1285919845 | Bruce Gilbert Weniger | Preventive Medicine | 1737 Crestline Ct Ne, Atlanta, GA 30345-3814 | 2011-10-14 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on DR. BRENDAN ROBERT JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.