Dr Javel Jackson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Atlanta, Georgia. Her current practice location is
4360 Chamblee Dunwoody Rd, Suite 530, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 630-6843.
Dr Javel Jackson is licensed to practice in Georgia (license number 002009) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316081706.
Healthcare Provider's Profile
| Full Name | Dr Javel Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 4360 Chamblee Dunwoody Rd, Atlanta, Georgia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1316081706
- Provider Enumeration Date: 02/18/2007
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 8426083726
- Enrollment ID: I20051005000248
Medical Identifiers
Medical identifiers for Dr Javel Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316081706 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 002284 (Georgia) | Primary |
| 103TC0700X | Psychologist - Clinical | 002009 (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 Javel Jackson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Javel Jackson, PSYD
Po Box 374457,
Decatur, GA 30037-4457
Ph: (770) 630-6843 | Dr Javel Jackson, PSYD
4360 Chamblee Dunwoody Rd, Suite 530,
Atlanta, GA 30341-1049
Ph: (770) 630-6843 |
Reviews and Comments