Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jackson L Gates, MD

Individual provider General Practice Physician · NPI 1962418400

Dr. Jackson L Gates, MD is a General Practice Physician in Conyers, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1880 Lancaster Dr
Conyers, GA 30013-6433
Phone: (678) 591-6509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 038767 (GA)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 038767 (GA)

Record details

NPI number1962418400
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 1, 2006
Last updated in NPPESAugust 10, 2010
Mailing address777 Cleveland Ave Sw, Suite 100, Atlanta, GA 30315-7129

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