NPI age
18 years
Enumerated 2008-04-15
● Active
Type 1 · Individual
DR. Angela Patrice Jackson, M.D.
Jackson is 1 of 16 pediatrics providers in Riverdale and 1 of 2726 in Georgia.
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-10-25
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2726 active pediatrics providers in Georgia.
NPI age
18 years
≈ at median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-04Enumerated in NPPES
2008
2026
Where they practice
Practice location
808 Commerce Blvd, Suite A
Riverdale, GA 302967192
Mailing address
808 Commerce Blvd, Suite A
Riverdale, GA 302967192
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Practice context
Part of a multi-provider practice. 10 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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