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

Justin M. Jackson, MD

Individual provider Anesthesiology Physician · NPI 1417216375

Justin M. Jackson, MD is an Anesthesiology in Tucker, Georgia. Qualified in 2012, 14 years ago. Practices with North Atlanta Anesthesia Professionals, LLC, a 543-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
14
Licensed in
GA
In the registry since
2012
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

1455 Montreal Rd
Tucker, GA 30084-8100
Phone: (404) 251-3000
Show map & directions

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

Additional practice locations (2)

  • 840 Montclair Rd, Birmingham, AL 35213-1920 — (205) 592-5135
  • 5730 Glenridge Dr Ste 400, Atlanta, GA 30328-7700 — (404) 252-3074

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 76288 (GA)

Record details

NPI number1417216375
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2012
Last updated in NPPESSeptember 19, 2018
Mailing address6325 Hospital Parkway, Johns Creek, GA 30097

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice North Atlanta Anesthesia Professionals, Llc — 543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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