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NPI · 1962418400 · NPPES-sourced

Dr. Jackson Gates M.D.

ActiveGeneral Practice
NPI Number
1962418400
Type 1 · Individual
Taxonomy Code
208D00000X
Contact
(678) 591-6509
License GA · 038767
Last Updated
Enumerated
Primary practice addressGA · 30013-6433
1880 Lancaster DriveConyers, GA 30013-6433
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About this NPIWhat this record shows.

NPI 1962418400 is registered to Dr. Jackson Gates M.D., a General Practice practising at 1880 Lancaster Drive in Conyers, Georgia. General Practice is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Jackson Gates M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Jackson Gates M.D. accepts. To confirm in-network status with your specific health plan, contact Dr. Jackson Gates M.D. directly at (678) 591-6509.

Frequently asked

Yes. NPI 1962418400 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

General Practice is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (678) 591-6509.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Jackson Gates M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy208D00000X
Last updated
Enumerated
StatusActive
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