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KECIA STRAWTER JACKSON MD
NPI 1811949688
Pediatrics in Lithonia, GA

Active since May 17, 2006PECOS Enrolled
8011 MALL PARKWAY, KAISER PERMANENTE STONECREST MEDICAL CENTER, LITHONIA, GA 30038(678) 323-7521(770) 761-6626 Get Directions Write a Review

NPPES record last updated: December 12, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kecia Strawter Jackson Md NPPES

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

KECIA STRAWTER JACKSON MD (NPI 1811949688) is an individual pediatrics provider in Lithonia, Georgia, licensed in Georgia (038978) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811949688
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKECIA STRAWTER JACKSONCredential: MD
Location Address8011 MALL PARKWAY, KAISER PERMANENTE STONECREST MEDICAL CENTERLithonia, GA 30038
Mailing Address3495 Piedmont Road, Ne, Nine Piedmont CenterAtlanta, GA 30305 · (404) 364-7070 · Fax (770) 761-6626
Phone(678) 323-7521
Fax(770) 761-6626
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateDecember 12, 2012
✔ NPI 1811949688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 038978
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.
8011 MALL PARKWAY, Lithonia, GA 30038
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Other Names 1

Former Name (1)Kecia Antoinette Strawter Md

Other Identifiers 2

Medicare UPINF87933
Medicaid00617328IGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kecia Strawter Jackson Md 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 30038 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.

Other Providers at the Same Location NPPES

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

SUSAN SHAW REINES MD
Pediatrics
8011 MALL PARKWAY, KAISER PERMANENTE STONECREST MEDICAL CENTER
LITHONIA, GA 30038
Dekalb County (678) 323-7510

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 Kecia Jackson's NPI number?

The NPI number for Kecia Jackson is 1811949688. It was assigned to this individual provider in the NPPES registry on May 17, 2006. The provider is also known as Kecia Antoinette Strawter MD.

Where is Kecia Jackson located?

Kecia Jackson practices at 8011 Mall Parkway Kaiser Permanente Stonecrest Medical Center, Lithonia, GA 30038. The listed phone number is (678) 323-7521.

What is Kecia Jackson's specialty?

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

Is Kecia Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kecia Jackson was last updated on December 12, 2012. 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.