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JUSTIN M. JACKSON M.D.
NPI 1417216375
Anesthesiology in Tucker, GA

Active since May 14, 2012PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1455 MONTREAL RD, TUCKER, GA 30084(404) 251-3000 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2018, Mar 17, 2018, Nov 22, 2017 and 1 more (4 updates tracked since 2017).

About Justin M. Jackson M.d. NPPES

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

JUSTIN M. JACKSON M.D. (NPI 1417216375) is an individual anesthesiology provider in Tucker, Georgia, licensed in Georgia (76288) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417216375
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJUSTIN M. JACKSONCredential: M.D.
Location Address1455 MONTREAL RDTucker, GA 30084-8100
Mailing Address6325 Hospital ParkwayJohns Creek, GA 30097 · (678) 474-7000
Phone(404) 251-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 14, 2012
Last NPPES UpdateSeptember 19, 20184 updates tracked since enumeration
✔ NPI 1417216375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in GA · 76288
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1455 MONTREAL RD, Tucker, GA 30084
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15730 Glenridge Dr Ste 400Atlanta, GA 30328-7700 · Phone (404) 252-3074
Location 2840 Montclair Rd, Suite 122Birmingham, AL 35213-1920 · Phone (205) 592-5135

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

Justin M. Jackson M.d. 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 ID9830487818
PECOS Enrollment IDI20161006000853
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
25 services25 patients
Anesthesia for extensive surgery on spine 00670
Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.
14 services14 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
12 services12 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

ANGELA CELZO MSW
Social Worker
1455 MONTREAL RD
TUCKER, GA 30084
Dekalb County (404) 251-3297
NORTHLAKE MEDICAL CENTER, LLC
Rehabilitation Unit
1455 MONTREAL RD
TUCKER, GA 30084
Dekalb County (770) 270-3000
MRS. SUSAN WIDMAYER PT
Physical Therapist
1455 MONTREAL RD
TUCKER, GA 30084
Dekalb County (404) 694-9732
NORTHLAKE MEDICAL CENTER, LLC
General Acute Care Hospital
1455 MONTREAL RD
TUCKER, GA 30084
Dekalb County (770) 270-3000
NORTHLAKE MEDICAL CENTER LLC
General Acute Care Hospital
1455 MONTREAL RD
TUCKER, GA 30084
Dekalb County (770) 270-3000
DR. CHASE STUART DEAN M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1455 MONTREAL RD
TUCKER, GA 30084
Dekalb County (404) 778-6970
MR. PALMER LEE WREN JR. OTR/L
Occupational Therapist
1455 MONTREAL RD
TUCKER, GA 30084
Dekalb County (404) 783-0262
NORTHLAKE MEDICAL CENTER, LLC
General Acute Care Hospital
1455 MONTREAL RD
TUCKER, GA 30084
Dekalb County (770) 270-3000

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 Justin Jackson's NPI number?

The NPI number for Justin Jackson is 1417216375. It was assigned to this individual provider in the NPPES registry on May 14, 2012.

Where is Justin Jackson located?

Justin Jackson practices at 1455 Montreal Rd, Tucker, GA 30084. The listed phone number is (404) 251-3000.

What is Justin Jackson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Justin Jackson enrolled in Medicare?

Yes. Justin 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.

Is Justin Jackson affiliated with any hospitals?

According to CMS data, Justin Jackson is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee, Northside Hospital Gwinnett and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Justin Jackson was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.