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

Kevin Jackson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104381573

Kevin Jackson, DO is an Ophthalmology in Atlanta, Georgia. Graduated from Liberty Univ College of Osteopathic Medicine in 2019, 7 years ago. Practices with Jonathan Woolfson MD PC, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Trained at
Liberty Univ College of Osteopathic Medicine
Licensed in
GA
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Atlanta, GA

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 327 Beach 19th St, Far Rockaway, NY 11691-4423 — (718) 869-7000

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 95793 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104381573
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedFebruary 9, 2019
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolLIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Jonathan Woolfson Md Pc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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