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

Edward Jackson, AA

Individual provider Anesthesiologist Assistant · NPI 1639746159

Edward Jackson, AA is an Anesthesiology Assistant in Atlanta, Georgia. Qualified in 2021, 5 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021

Practice location Address checks out

550 Peachtree St NE
Atlanta, GA 30308-2212
Phone: (404) 686-4411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 10437 (GA)

Record details

NPI number1639746159
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorNo
NPI enumeratedJune 4, 2021
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022
Mailing address550 Peachtree St Ne, Atlanta, GA 30308-2212

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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