DR. BRENDAN ROBERT JACKSON M.D. NPI 1215111414

NPI Information

  • NPI: 1215111414
  • Provider Name: DR. BRENDAN ROBERT JACKSON, M.D.
  • Classification: Preventive Medicine - 2083P0901X
  • Specialization: Public Health & General Preventive Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1600 CLIFTON RD NE
    MS E-92
    ATLANTA, GA
    ZIP 30329
  • Phone: (404) 498-1829

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NPI Details

DR. Brendan Robert Jackson, M.D. is a public health and general preventive medicine preventive medicine in Atlanta, GA. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. DR. Brendan Robert Jackson, M.D. NPI is 1215111414. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1600 CLIFTON RD NE
MS E-92
ATLANTA, GA
ZIP 30329-018
Phone: (404) 498-1829

The NPI 1215111414 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 enumeration date for this NPI number is 12/24/2007 and was last updated on 3/1/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine064571GEORGIANo
22083P0901XPreventive MedicinePublic Health & General Preventive Medicine064571GEORGIAYes

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: 11/21/2025

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