Active NPI 1124292826 Individual Practitioner Female Practitioner

Dr. Angela Patrice Jackson , MD

Pediatrics • Riverdale, GA

Professional Overview & Biography Verified Profile Summary

Dr. Angela Jackson, MD is a registered healthcare professional specializing in Pediatrics in Riverdale, GA. Practice services are available at 808 COMMERCE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

808 Commerce Blvd
Suite A

Riverdale, GA 302967192

Telephone 7709969191

Fax 7709965298

Associated Practice Facility / Clinic

🏢 Optima Physical Therapy Inc Facility NPI 1174593222

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Riverdale, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 21.2 Yrs

Regional Practice Density

10 Specialists

Practicing in Riverdale, GA (2326 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 001627

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Manjit Singh , MD

Pediatrics

NPI 1225298417

Doctor of Medicine (M.D.)

Dr. Joana Benayoun , MD

Pediatrics

NPI 1457647158

Doctor of Medicine (M.D.)

Dr. Purna Chadalawada , MD

Pediatrics

NPI 1770532624

Doctor of Medicine (M.D.)

Dr. Lucila Velez , MD

Pediatrics

NPI 1821157272

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 25, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 25, 2011

Registered at 808 COMMERCE BLVD, SUITE A, RIVERDALE, GA 302967192 (Tel: 7709969191)

📍

Updated Business Mailing Address October 25, 2011

Registered at 808 COMMERCE BLVD, SUITE A, RIVERDALE, GA 302967192 (Tel: 7709969191)

👤

Provider Name / Credentials Updated October 25, 2011

Recorded as ANGELA JACKSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2011

Pediatrics (License #001627 in GA)

🟢

Initial NPI Registration & Enumeration April 15, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1124292826

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 15, 2008

Last Update: October 25, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

808 Commerce Blvd, Suite A

Riverdale, GA 302967192

Phone: 7709969191

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.