DR. HAROLD DAMON JACKSON


Address: 2665 N Decatur Rd, Suite 430, Decatur, GA 30033-6149
Phone: 4042944018

DR. HAROLD DAMON JACKSON (NPI# 1164406252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164406252
Entity Type Individual
Full Name DR. HAROLD DAMON JACKSON
Credential MD
Practice Address 2665 N Decatur Rd
Suite 430
Decatur
GA 30033-6149
Practice Telephone 4042944018
Practice Fax Number 4042941359
Mailing Telephone 4042944018
Mailing Fax Number 4042941359
Enumeration Date 2005-12-01
Last Update Date 2010-01-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
032591 GA Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
032591 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA BLUE CROSS BLUE SHIELD 479614 01
GA NPI 1164406252 01
CIGNA 6613810008 01
GA WORKERS COMPENSATION 0932200001 01
AETNA 4365944 01
UNITED HEALTHCARE 4806794 01
GA 00421363D 05
GA RAILROAD MEDICARE 110089544 01
GHI 2598499 01
GA KAISER 5931 01

Other Providers HAROLD JACKSON

NPI Name Taxonomy Address Enumeration
1407249402 Harold Jackson Nurse Practitioner 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 2015-03-15
1366706582 Harold Gerard Jackson II Anesthesiology 1402 S Grand Blvd, Saint Louis, MO 63104-1004 2012-07-02
1992882179 Harold G. Jackson Neuromusculoskeletal Medicine, Sports Medicine 6600 Bruceville Rd, Department of Orthopaedics, Sacramento, CA 95823-4671 2006-11-01
1235126475 Harold William Jackson Family Medicine 4646 Brockton Ave, Suite 202, Riverside, CA 92506-0102 2005-10-03

Office Location

Street Address 2665 N DECATUR RD
SUITE 430
City DECATUR
State GA
Zip Code 30033-6149

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265430797 David Alan Miller Internal Medicine 2665 N Decatur Rd, Ste 430, Decatur, GA 30033-6149 2005-07-08
1871034934 Tejal Dinesh Mehta Nurse Practitioner 2665 N Decatur Rd, Suite 430, Decatur, GA 30033-6149 2017-03-09
1235586728 Dana Chason Nurse Practitioner 2665 N Decatur Rd, #230, Decatur, GA 30033-6149 2016-05-16
1700214590 Lauren Paulus Stewart Physician Assistant 2665 N Decatur Rd, Suite 520, Decatur, GA 30033-6149 2013-10-15
1184069973 Aakashi D Patel Physician Assistant 2665 N Decatur Rd, Suite 350, Decatur, GA 30033-6149 2013-05-07
1649537416 Dekalb Neurology Group, LLC Psychiatry & Neurology 2665 N Decatur Rd, Suite 540, Decatur, GA 30033-6149 2012-04-18
1932478849 Medical Oncology Consultants of Atlanta Specialist 2665 N Decatur Rd, Suite 150, Decatur, GA 30033-6149 2011-12-21
1619296746 Alice Azzalin Internal Medicine 2665 N Decatur Rd, Suite 520, Decatur, GA 30033-6149 2010-05-28
1740518612 Paresh P Kamat Internal Medicine 2665 N Decatur Rd, Suite 350, Decatur, GA 30033-6149 2009-12-03
1992934111 Dimple Lilian Kripalani Nurse Practitioner 2665 N Decatur Rd, Suite 430, Decatur, GA 30033-6149 2009-07-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922613785 Healing Minds, Helping Hearts, LLC Social Worker 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 2020-09-09
1700412517 Delana Finney Orthotist Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 2020-03-13
1194389353 Katherine Serafen Physician Assistant 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 2019-04-23
1194290973 Suzanne Johnson Psychologist Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 2018-10-09
1245705334 Mcleod Counseling Services, LLC Clinic/Center 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 2018-10-04
1225514797 Erkin Mirkhatovich Turganov Pharmacist 2951 Cedar Brook Dr, Decatur, GA 30033 2018-07-17
1356834972 Sharlencia Lord Nurse Practitioner 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 2018-06-08
1194213140 Zacarias Yanis Jr. Clinical Neuropsychologist 1276 Mcconnell Drive Ste C., Decatur, GA 30033 2018-04-25
1780181370 Ryan Patton Orthopaedic Surgery 2723 Hollywood Dr, Decatur, GA 30033 2018-04-10
1437669751 Sholanda D Hooper Nurse Practitioner 1601 Clairmont Rd, Decatur, GA 30033 2017-10-02
Find all providers in zip 30033

Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528312360 Lynn Goldowski Internal Medicine 258 E Parkwood Rd, Decatur, GA 30030-2813 2012-11-01
1174640569 Gerald Henry Mazurek Internal Medicine 1600 Clifton Road, Ne, Mail Stop E-10, Decatur, GA 30329 2007-03-23
1417025933 James Edward Boyle Internal Medicine 1101 Somerville Rd Se, Decatur, AL 35601-3242 2006-12-01
1043261761 Gilbert Berdine Md Internal Medicine 2014 Ben Merritt Dr, Suite A-2, Decatur, TX 76234-3850 2006-05-15
1043269061 Mamoun I Najjar Internal Medicine 1222 Somerville Road Se, Decatur, AL 35601 2006-05-08
1114989746 Nayer B El-ashram Internal Medicine 2301 S Fm 51 Ste 300, Decatur, TX 76234-3864 2006-04-06
1003070350 Harsh Chawla Internal Medicine 2300 N Edward St, Decatur, IL 62526-4163 2008-07-16
1417084971 Decatur General Hospital Internal Medicine 1215 7th St Se, Suite 140/120, Decatur, AL 35601-3337 2007-02-28
1205904752 Valley Pulmonary & Critical Care, P.C. Internal Medicine 1101 Somerville Rd Se, Decatur, AL 35601-3242 2006-12-01
1295838464 Thomandram Sekar Internal Medicine 1100 Mercer Ave, Decatur, IN 46733-2303 2006-09-06
Find all providers in DECATUR

Competitor

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City DECATUR
Zip Code 30033

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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