Dr Angela Patrice Jackson, MD - Pediatrics in Riverdale, GA

Dr Angela Patrice Jackson, MD is a Pediatrics physician based in Riverdale, Georgia. Dr Angela Patrice Jackson is licensed to practice in Georgia (license number 001627) and her current practice location is 808 Commerce Blvd, Suite A, Riverdale, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 996-9191.

NPI number for Dr Angela Patrice Jackson is 1124292826 and her current mailing address is 808 Commerce Blvd, Suite A, Riverdale, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124292826.

Contact Information

Dr Angela Patrice Jackson, MD
808 Commerce Blvd, Suite A,
Riverdale, GA 30296-7192
(770) 996-9191
(770) 996-5298



Physician's Profile

Full NameDr Angela Patrice Jackson
GenderFemale
SpecialityPediatrics
Location808 Commerce Blvd, Riverdale, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124292826
  • Provider Enumeration Date: 04/15/2008
  • Last Update Date: 10/25/2011

Medical Identifiers

Medical identifiers for Dr Angela Patrice Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124292826NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 001627 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Angela Patrice Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Angela Patrice Jackson, MD
808 Commerce Blvd, Suite A,
Riverdale, GA 30296-7192

Ph: (770) 996-9191
Dr Angela Patrice Jackson, MD
808 Commerce Blvd, Suite A,
Riverdale, GA 30296-7192

Ph: (770) 996-9191

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› Verified 8 days ago


Pediatrics Doctors in Riverdale, GA

Moo Hee Lee, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 251 Medical Way, Suite A, Riverdale, GA 30274
Phone: 770-991-2176    Fax: 770-991-2178
Manjit Singh, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 808 Commerce Blvd, Suite A, Riverdale, GA 30296
Phone: 770-996-9191    
Dr. Amjad Iqbal, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 189c Medical Way, Riverdale, GA 30274
Phone: 770-991-8900    Fax: 770-991-8917
Joana Isabel Benayoun, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 808 Commerce Blvd, Suite A, Riverdale, GA 30296
Phone: 770-996-9191    Fax: 770-996-5298
Odell Barnwell Iii, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 251 Medical Way, Suite A, Riverdale, GA 30274
Phone: 770-991-2176    Fax: 770-991-2178
Sook Hee Ahn, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 251 Medical Way, Suite A, Riverdale, GA 30274
Phone: 770-991-2176    Fax: 770-991-2178

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