NPI age
— years
Enumerated 2025-09-23
● Active
Type 1 · Individual
Richard Jackson JR.
Jackson is 1 of 2 clinic/center providers in Decatur and 1 of 205 in Georgia.
Primary specialty
Clinic/Center
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 205 active clinic/center providers in Georgia.
NPI age
0 years
↓ 8 yr below median (8 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties
NPI lifetime · 2025 → 2026
2025-09Enumerated in NPPES
2025
2026
Where they practice
Practice location
811 Creste Dr
Decatur, GA 300354135
Mailing address
811 Creste Dr
Decatur, GA 300354135
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 2 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 →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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