NPI age
6 years
Enumerated 2020-04-20
● Active
Type 1 · Individual
Roger Lee Jackson II
Jackson is 1 of 4 emergency medical technician, intermediate providers in Atlanta and 1 of 35 in Georgia.
Primary specialty
Emergency Medical Technician, Intermediate
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-04-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 35 active emergency medical technician, intermediate providers in Georgia.
NPI age
6 years
↓ 3 yr below median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-04Enumerated in NPPES
2020
2026
Where they practice
Practice location
713 Clifton Rd Se
Atlanta, GA 303162229
Mailing address
713 Clifton Rd Se
Atlanta, GA 303162229
Specialties
-
Emergency Medical Technician, Intermediate PrimaryAn Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
Practice context
Part of a multi-provider practice. 1 other active provider shares 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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