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DR. JAVEL JACKSON PSYD
NPI 1316081706
Counselor - Professional in Atlanta, GA

Active since February 18, 2007PECOS EnrolledAccepts Medicare Assignment
4360 CHAMBLEE DUNWOODY RD, SUITE 530, ATLANTA, GA 30341(770) 630-6843 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Javel Jackson Psyd NPPES

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

DR. JAVEL JACKSON PSYD (NPI 1316081706) is an individual professional provider in Atlanta, Georgia, licensed in Georgia (002284) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1316081706
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. JAVEL JACKSONCredential: PSYD
Location Address4360 CHAMBLEE DUNWOODY RD, SUITE 530Atlanta, GA 30341-1049
Mailing AddressPo Box 374457Decatur, GA 30037-4457 · (770) 630-6843
Phone(770) 630-6843
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateFebruary 18, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1316081706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · 002284
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 002009 (GA)
4360 CHAMBLEE DUNWOODY RD, Atlanta, GA 30341
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Other Names 1

Other Name (5)Dr. Javel Jackson Long Psyd

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Javel Jackson Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426083726
PECOS Enrollment IDI20051005000248
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.

Other Providers at the Same Location NPPES 11

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

DR. NICOLE B PETCHENIK M.D.
Obstetrics & Gynecology
4360 CHAMBLEE DUNWOODY RD, SUITE 370
ATLANTA, GA 30341
Dekalb County (770) 399-5055
CIRCADIA MEDICAL CENTER, LLC
Clinic/Center (Multi-Specialty)
4360 CHAMBLEE DUNWOODY RD, STE 515
ATLANTA, GA 30341
Dekalb County (770) 457-7812
TIMOTHY MURPHY
Hearing Instrument Specialist
4360 CHAMBLEE DUNWOODY RD
ATLANTA, GA 30341
Dekalb County (770) 458-8436
DR. RICHARD VLADIMIR REMIGAILO JR. D.M.D
Dentist (General Practice)
4360 CHAMBLEE DUNWOODY RD, SUITE 200
ATLANTA, GA 30341
Dekalb County (770) 457-2858
NORTHLAND HEARING CENTERS, INC
Audiologist-Hearing Aid Fitter
4360 CHAMBLEE DUNWOODY RD, SUITE 180
ATLANTA, GA 30341
Dekalb County (770) 458-8436
MS. SHANNON MOSS NMT
Massage Therapist
4360 CHAMBLEE DUNWOODY RD
ATLANTA, GA 30341
Dekalb County (770) 457-7812
GUARDIAN HOSPICE OF GEORGIA, LLC
Hospice Care, Community Based
4360 CHAMBLEE DUNWOODY RD, SUITE 535
ATLANTA, GA 30341
Dekalb County (770) 458-1624
SONYA BELLAMY MD
Dermatology
4360 CHAMBLEE DUNWOODY RD, SUITE 260
ATLANTA, GA 30341
Dekalb County (770) 452-5667

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 Javel Jackson's NPI number?

The NPI number for Javel Jackson is 1316081706. It was assigned to this individual provider in the NPPES registry on February 18, 2007. The provider is also known as Dr. Javel Jackson Long Psyd.

Where is Javel Jackson located?

Javel Jackson practices at 4360 Chamblee Dunwoody Rd Suite 530, Atlanta, GA 30341. The listed phone number is (770) 630-6843.

What is Javel Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Javel Jackson enrolled in Medicare?

Yes. Javel Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Javel Jackson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.