P Praxis·MD
● Active Type 1 · Individual

DR. Michelle A Jackson, PH.D.

Clinical Neuropsychologist·Atlanta, GA· NPI 1346553021 · Enumerated 2010 · 15 years on NPI
Jackson is 1 of 62 clinical neuropsychologist providers in Atlanta and 1 of 154 in Georgia.
NPI age
15 years
Enumerated 2010-07-22
Primary specialty
Clinical Neuropsychologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-01-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 154 active clinical neuropsychologist providers in Georgia.

NPI age
15 years
≈ at median (15 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-07Enumerated in NPPES
2010 2026

Where they practice

Practice location
2020 Peachtree Rd Nw
Atlanta, GA 303091426
📞 4043671310
Mailing address
2020 Peachtree Rd Nw
Atlanta, GA 303091426
📞 4043507323fax 4043507694

Specialties

  • Clinical Neuropsychologist Primary
    A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated...
    GA license #PSY004033 taxonomy 103G00000X

Identifiers

TypeValueNotes
05 (MA) 110026265E
01 (MA) 685661 TUFTS

Practice context

Part of a multi-provider practice. 88 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new clinical neuropsychologist provider has been added in Atlanta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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