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DR. HAROLD DAMON JACKSON MD NPI 1164406252


NPI Information

NPI: 1164406252
Provider Name: DR. HAROLD DAMON JACKSON, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Organization: SOUTHEASTERN LUNG CARE PC

PECOS Registration: Yes

Address:
2665 N DECATUR RD
SUITE 430
DECATUR, GA
ZIP 30033
Phone: (404) 294-4018
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DR. Harold Damon Jackson, MD is a pulmonary disease internal medicine in Decatur, GA with 37 years of experience. The provider is 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. DR. Harold Damon Jackson, MD NPI is 1164406252. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:1987

The provider's business location address is:

2665 N DECATUR RD
SUITE 430
DECATUR, GA
ZIP 30033-149
Phone: (404) 294-4018
Fax: (404) 294-1359

The NPI 1164406252 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Measurement of lung diffusing capacity (HCPCS:94729)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 12/1/2005 and was last updated on 1/27/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care Medicine032591GEORGIANo
2207RP1001XInternal MedicinePulmonary Disease032591GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14806794OTHERUNITED HEALTHCARE
26613810008OTHERCIGNA
32598499OTHERGHI
4479614OTHERGEORGIABLUE CROSS BLUE SHIELD
55931OTHERGEORGIAKAISER
600421363DMEDICAIDGEORGIA
70932200001OTHERGEORGIAWORKERS COMPENSATION
84365944OTHERAETNA
929BDBPWMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
10E55249MEDICARE UPIN
11110089544OTHERGEORGIARAILROAD MEDICARE
121164406252OTHERGEORGIANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.