NPI age
20 years
Enumerated 2005-10-11
● Active
Type 1 · Individual
DR. Tanjela M Jackson, MD
Jackson is 1 of 120 internal medicine providers in Atlanta and 1 of 562 in Georgia.
Primary specialty
Internal Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-12-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 562 active internal medicine providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-10Enumerated in NPPES
2005
2026
Where they practice
Practice location
3620 M L King JR Dr Sw
Atlanta, GA 303313711
Mailing address
3620 Martin Luther King JR Dr Sw
Atlanta, GA 303313711
Specialties
-
Internal Medicine PrimaryAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 2490487 | UNITED HEALTH CARE |
| 05 (GA) | 748360477F | |
| 05 (GA) | 748360477H | |
| 05 (GA) | 748360477 | |
| 01 (GA) | 7889745 | AETNA |
| 01 (GA) | 52152577 | BCBS |
| 01 (GA) | 7368440 | CIGNA |
| 05 (GA) | 748360477G | |
| 05 (GA) | 748360477K | |
| 05 (GA) | 748360477E | |
| 05 (GA) | 748360477I | |
| 05 (GA) | 748360477J |
Practice context
Part of a multi-provider practice. 4 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.