P Praxis·MD
● Active Type 1 · Individual

Justin M. Jackson, M.D.

Anesthesiology·Tucker, GA· NPI 1417216375 · Enumerated 2012 · 14 years on NPI
Jackson is 1 of 4 anesthesiology providers in Tucker and 1 of 1712 in Georgia.
NPI age
14 years
Enumerated 2012-05-14
Primary specialty
Anesthesiology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-09-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1712 active anesthesiology providers in Georgia.

NPI age
14 years
↓ 4 yr below median (18 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-05Enumerated in NPPES
2012 2026

Where they practice

Practice location
1455 Montreal Rd
Tucker, GA 300848100
📞 4042513000
Mailing address
6325 Hospital Parkway
Johns Creek, GA 30097
📞 6784747000

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
5730 Glenridge Dr Ste 400
Atlanta, GA 303287700
📞 4042523074
Location 3
840 Montclair Rd, Suite 122
Birmingham, AL 352131920
📞 2055925135

Specialties

  • Anesthesiology Primary
    An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk...
    GA license #76288 taxonomy 207L00000X

Practice context

Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.

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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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