NPI age
14 years
Enumerated 2011-12-15
● Active Type 2 · Organization
Billie L. Jackson, M.d., Llc
Billie L. Jackson, M.d., Llc is 1 of 483 dermatology organizations in Georgia.
Primary specialty
Dermatology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jackson
Owner
Last NPPES update
2011-12-15
Source: monthly bulk 2026-05
How this organization compares
Across 483 active dermatology providers in Georgia.
NPI age
14 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-12Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
440 Charter Blvd, Suite 2201
MacOn, GA 312100724
Mailing address
440 Charter Blvd, Suite 2201
MacOn, GA 312100724
Authorized official
Billie L Jackson, M.D.
Owner
📞 4784775575
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Billie Jackson, M.D. Dermatology NPI 1235232430
- Consuela Williams-Holliday, DPM Podiatrist NPI 1780602011
Specialties
-
Dermatology PrimaryA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000373513E |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.