JACKSON THOMAS LONDEREE DO
NPI 1730523887
Pediatrics in Atlanta, GA

Q: What is Jackson Londeree's NPI number?

The NPI number for Jackson Londeree is 1730523887. It was assigned to this individual provider in the NPPES registry on April 19, 2013.

Q: What is Jackson Londeree's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Londeree was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 19, 2013PECOS EnrolledAccepts Medicare Assignment

1400 TULLIE RD NE FL 2, ATLANTA, GA 30329(404) 785-5437(404) 785-9071 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 6, 2022, Jun 25, 2021, Jan 2, 2019 and 1 more (4 updates tracked since 2017).

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About Jackson Thomas Londeree Do NPPES

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

JACKSON THOMAS LONDEREE DO (NPI 1730523887) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (78075) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Children's Healthcare Of Atlanta At Egleston, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2013).

NPPES Registry Identity

NPI1730523887

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJACKSON THOMAS LONDEREECredential: DO

Location Address1400 TULLIE RD NE FL 2Atlanta, GA 30329-2309

Mailing Address1400 Tullie Rd Ne Fl 2Atlanta, GA 30329-2309 · (404) 785-5437 · Fax (404) 785-9071

Phone(404) 785-5437

Fax(404) 785-9071

Sole ProprietorNo

Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2013

Enumeration DateApril 19, 2013

Last NPPES UpdateJune 6, 20224 updates tracked since enumeration

✔ NPI 1730523887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 78075

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1400 TULLIE RD NE FL 2, Atlanta, GA 30329

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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

Jackson Thomas Londeree Do 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 ID5799076717

PECOS Enrollment IDI20201019002040

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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

60 services12 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

21 services15 patients

Hospital Affiliations CMS Care Compare

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

Children's Healthcare Of Atlanta At Egleston

Childrens · Atlanta, GA

OwnershipVoluntary non-profit - Private

CMS Certification Number113300

Location1405 Clifton Road, NEAtlanta, GA 30322 · De Kalb County

Emergency services

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

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers12 claims1,830 services$0.30 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers12 claims1,150 services$0.19 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

3 suppliers14 claims14 services$18.93 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

2 suppliers13 claims13 services$12.58 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DELL MCLAUGHLIN MD, MPH

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)