P Praxis·MD
● Active Type 1 · Individual

DR. Jackson L Gates, M.D.

General Practice·Conyers, GA· NPI 1962418400 · Enumerated 2006 · 19 years on NPI
Gates is 1 of 9 general practice providers in Conyers and 1 of 661 in Georgia.
NPI age
19 years
Enumerated 2006-08-01
Primary specialty
General Practice
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-08-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 661 active general practice providers in Georgia.

NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 35% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
1880 Lancaster Drive
Conyers, GA 300136433
📞 6785916509
Mailing address
777 Cleveland Ave Sw, Suite 100
Atlanta, GA 303157129
📞 4047630093

Specialties

  • General Practice Primary
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    GA license #038767 taxonomy 208D00000X
  • Pathology
    A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses...
    GA license #038767 taxonomy 207ZP0102X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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