DR. BRENDAN ROBERT JACKSON M.D.
NPI 1215111414
Preventive Medicine - Public Health & General Preventive Medicine in Atlanta, GA

Active since December 24, 2007PECOS Enrolled
1600 CLIFTON RD NE, MS E-92, ATLANTA, GA 30329(404) 498-1829 Get Directions Write a Review

NPPES record last updated: March 1, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brendan Robert Jackson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRENDAN ROBERT JACKSON M.D. (NPI 1215111414) is an individual public health & general preventive medicine provider in Atlanta, Georgia, licensed in Georgia (064571) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215111414
Entity TypeIndividualMale
Primary Taxonomy2083P0901X
Provider Legal NameDR. BRENDAN ROBERT JACKSONCredential: M.D.
Location Address1600 CLIFTON RD NE, MS E-92Atlanta, GA 30329-4018
Mailing Address1600 Clifton Rd Ne, Ms E-92Atlanta, GA 30329-4018
Sole ProprietorNo
Enumeration DateDecember 24, 2007
Last NPPES UpdateMarch 1, 2013
NPI 1215111414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
License Licensed in GA · 064571
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 064571 (GA)
1600 CLIFTON RD NE, Atlanta, GA 30329

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Brendan Robert Jackson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30329 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
1600 CLIFTON RD NE, TO: CAPT MARC SAFRAN, US PUBLIC HEALTH SERVICE, CDC
ATLANTA, GA 30329
Preventive Medicine (Public Health & General Preventive Medicine)
1600 CLIFTON RD NE, MAILSTOP E-10
ATLANTA, GA 30329
Pediatrics
1600 CLIFTON RD NE, MS E 92
ATLANTA, GA 30329
Family Medicine
1600 CLIFTON RD NE, MS-E04
ATLANTA, GA 30329
Family Medicine
1600 CLIFTON RD NE, MS A32
ATLANTA, GA 30329
Internal Medicine (Infectious Disease)
1600 CLIFTON RD NE, MS E-30
ATLANTA, GA 30329
Internal Medicine (Infectious Disease)
1600 CLIFTON RD NE
ATLANTA, GA 30329
Internal Medicine
1600 CLIFTON RD NE
ATLANTA, GA 30329

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brendan Jackson's NPI number?

The NPI number for Brendan Jackson is 1215111414. It was assigned to this individual provider in the NPPES registry on December 24, 2007.

Where is Brendan Jackson located?

Brendan Jackson practices at 1600 Clifton Rd NE Ms E-92, Atlanta, GA 30329. The listed phone number is (404) 498-1829.

What is Brendan Jackson's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Is Brendan Jackson enrolled in Medicare?

Yes. Brendan Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brendan Jackson was last updated on March 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.