Mahkada Taylor Jackson, PHD is a
Psychologist based in Mableton, Georgia. Mahkada Taylor Jackson is licensed to practice in Georgia (license number PSY004135) and her current practice location is
1420 Ridgebend Way Se, Mableton, Georgia. She can be reached at her office (for appointments etc.) via phone at
(646) 731-4785.
NPI number for Mahkada Taylor Jackson is 1790363588 and her current mailing address is 1420 Ridgebend Way Se, Mableton, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790363588.
Healthcare Provider's Profile
Full Name | Mahkada Taylor Jackson |
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Gender | Female |
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Speciality | Psychologist |
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Location | 1420 Ridgebend Way Se, Mableton, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790363588
- Provider Enumeration Date: 04/01/2021
- Last Update Date: 04/01/2021
Medical Identifiers
Medical identifiers for Mahkada Taylor Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790363588 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | PSY004135 (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. Mahkada Taylor 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 Address | Practice Location Address |
Mahkada Taylor Jackson, PHD 1420 Ridgebend Way Se, Mableton, GA 30126 Ph: (646) 731-4785 | Mahkada Taylor Jackson, PHD 1420 Ridgebend Way Se, Mableton, GA 30126 Ph: (646) 731-4785 |
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