NPI age
13 years
Enumerated 2012-06-11
● Active
Type 1 · Individual
MR. Vincent Paul Jackson, RT(R)
Jackson is 1 of 4 radiologic technologist providers in Atlanta and 1 of 35 in Georgia.
Primary specialty
Radiologic Technologist
Licensed in
MN
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-06-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 35 active radiologic technologist providers in Georgia.
NPI age
13 years
↑ 2 yr above median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-06Enumerated in NPPES
2012
2026
Where they practice
Practice location
4950 Glaze Dr
Atlanta, GA 303601702
Mailing address
4950 Glaze Dr
Atlanta, GA 303601702
Specialties
-
Radiologic Technologist PrimaryA medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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