NPI age
7 years
Enumerated 2019-02-09
● Active
Type 1 · Individual
Kevin Jackson, DO
Jackson is 1 of 169 ophthalmology providers in Atlanta and 1 of 807 in Georgia.
Primary specialty
Ophthalmology
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-09-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 807 active ophthalmology providers in Georgia.
NPI age
7 years
↓ 12 yr below median (19 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-02Enumerated in NPPES
2019
2026
Where they practice
Practice location
800 Mount Vernon Hwy Ne Ste 130
Atlanta, GA 303284293
Mailing address
906 Wedgewood Ter
Westminster, MD 211583654
Additional practice locations
1 secondary location on file with NPPES.
Location 2
327 Beach 19th St
Far Rockaway, NY 116914423
Specialties
-
Ophthalmology PrimaryAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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