BRYON JACKSON (NPI# 1306990908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306990908 |
| Entity Type | Individual |
| Full Name | BRYON JACKSON |
| Credential | MD |
| Practice Address |
80 Jesse Hill Jr Dr Se Dept Of Atlanta GA 30303-3031 |
| Mailing Address |
3400 Spruce St 1 Maloney Building Philadelphia PA 19104-4206 |
| Practice Telephone | 4046165800 |
| Mailing Telephone | 2156623957 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MT188698 | PA | Allopathic & Osteopathic Physicians |
| Y | 207ZB0001X |
Pathology Specialization: Blood Banking & Transfusion Medicine |
076898 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3400 Spruce St, 1 Maloney Building, Philadelphia, PA 191044206 | 2156623957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407417561 | Bryon Jackson | Behavior Technician | 901 Sneath Ln Ste 105, San Bruno, CA 94066-2415 | 2019-06-27 |
| 1124366133 | Bryon D Jackson | Counselor | 5930 S Main St, #104, Los Angeles, CA 90003-1284 | 2013-01-25 |
| Street Address |
80 JESSE HILL JR DR SE DEPT OF |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881072015 | Sahar Taghvaei | Hospitalist | 80 Jesse Hill Jr Dr Se Dept Of, Atlanta, GA 30303 | 2015-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 207ZB0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Blood Banking & Transfusion Medicine |
| A physician who specializes in blood banking/transfusion medicine is responsible for the maintenance of an adequate blood supply, blood donor and patient-recipient safety and appropriate blood utilization. Pre-transfusion compatibility testing and antibody testing assure that blood transfusions, when indicated, are as safe as possible. This physician directs the preparation and safe use of specially prepared blood components, including red blood cells, white blood cells, platelets and plasma constituents, and marrow or stem cells for transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861450124 | Krista L. Hillyer | Pathology | 1925 Monroe Dr Ne, American Red Cross, Atlanta, GA 30324-4828 | 2006-05-03 |
| 1326005059 | Jeanne E Hendrickson | Pathology | 5455 Meridian Mark Rd Ne, Ste 400, Atlanta, GA 30342 | 2006-04-27 |
| 1811254311 | Cheryl Lynn Maier | Pathology | 1364 Clifton Rd Ne, Atlanta, GA 30322-0001 | 2012-04-20 |
| 1376832667 | Harold Clifford Sullivan IIi | Pathology | 1364 Clifton Rd Ne, Room H183, Atlanta, GA 30322-1059 | 2011-04-07 |
| 1841517240 | Sean R Stowell | Pathology | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2010-04-23 |
| 1962668475 | Emory Medical Care Foundation Inc | Pathology | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2008-08-04 |
| 1376591388 | John D. Roback | Pathology | 101 Woodruff Circle, Woodruff Memorial Research Bldg., Room 7313, Atlanta, GA 30322-0001 | 2006-05-04 |
| 1285682187 | Lennart E. Logdberg | Pathology | 550 Peachtree Street, Room 1226, Atlanta, GA 30306 | 2006-05-04 |
| 1295793560 | Cassandra D. Josephson | Pathology | 1405 Clifton Rd Ne, Dept. of Pathology, Atlanta, GA 30322-1060 | 2006-05-03 |
| 1508824988 | Christopher D. Hillyer | Pathology | 1364 Clifton Rd Ne, Euh Blood Bank, Room D655, Atlanta, GA 30322-1059 | 2006-05-03 |
| Find all providers in ATLANTA | ||||
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| 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.