EDWARD JACKSON AA
NPI 1639746159
Anesthesiologist Assistant in Atlanta, GA

Active since June 04, 2021Accepts Medicare Assignment
92.26/100
CMS Quality Rating
550 PEACHTREE ST NE, ATLANTA, GA 30308(404) 686-4411 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2022, Jun 4, 2021 (2 updates tracked since 2021).

About Edward Jackson Aa NPPES

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

EDWARD JACKSON AA (NPI 1639746159) is an individual anesthesiologist assistant in Atlanta, Georgia, licensed in Georgia (10437) and active in the NPI registry since June 2021. He is affiliated with Emory University Hospital Midtown and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639746159
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameEDWARD JACKSONCredential: AA
Location Address550 PEACHTREE ST NEAtlanta, GA 30308-2212
Mailing Address550 Peachtree St NeAtlanta, GA 30308-2212 · (404) 686-4411
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 4, 2021
Last NPPES UpdateOctober 11, 20222 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
NPI 1639746159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License Licensed in GA · 10437
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
550 PEACHTREE ST NE, Atlanta, GA 30308

Accepted Insurance

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

Edward Jackson Aa 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 ID3870998594
PECOS Enrollment IDI20210818003385

Hospital Affiliations CMS Care Compare

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

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services 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 20

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

Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Anesthesiologist Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Physician Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Occupational Therapist
550 PEACHTREE ST NE
ATLANTA, GA 30308
Otolaryngology
550 PEACHTREE ST NE
ATLANTA, GA 30308
Internal Medicine (Infectious Disease)
550 PEACHTREE ST NE
ATLANTA, GA 30308
Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Internal Medicine
550 PEACHTREE ST NE
ATLANTA, GA 30308

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 Edward Jackson's NPI number?

The NPI number for Edward Jackson is 1639746159. It was assigned to this individual provider in the NPPES registry on June 4, 2021.

Where is Edward Jackson located?

Edward Jackson practices at 550 Peachtree St NE, Atlanta, GA 30308. The listed phone number is (404) 686-4411.

What is Edward Jackson's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Edward Jackson enrolled in Medicare?

Yes. Edward 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.

What insurance does Edward Jackson accept?

Health plans from Alliant Health Plans, Inc. list Edward Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Edward Jackson affiliated with any hospitals?

According to CMS data, Edward Jackson is affiliated with Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Edward Jackson was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.