IndividualActive
Angela Jackson, M.D.
NPI 1124292826 · Pediatrics Physician · Riverdale, GA
Angela Jackson, M.D. is a Pediatrics Physician provider in Riverdale, GA (NPI 1124292826).
Provider details
- NPI number
- 1124292826
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 001627 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
808 Commerce Blvd
Suite a
Riverdale, GA 30296-7192
Phone: (770) 996-9191
Fax: (770) 996-5298
Approximate (ZIP-level) locationGet directions
Mailing address
808 Commerce Blvd
Riverdale, GA 30296-7192
Registry dates
- Enumerated
- 2008-04-15
- Last updated
- 2011-10-25
Frequently asked questions
- What is Angela Jackson's NPI number?
- Angela Jackson's National Provider Identifier (NPI) is 1124292826, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Angela Jackson's specialty?
- Angela Jackson is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Angela Jackson located?
- Angela Jackson's practice location on file with NPPES is 808 Commerce Blvd, Riverdale, GA 30296-7192.
- What is Angela Jackson's phone number?
- The practice phone number listed in the NPPES registry for Angela Jackson is (770) 996-9191.
- Is Angela Jackson's NPI active?
- Yes — Angela Jackson's NPI (1124292826) is active in the NPPES registry as of the last update on 2011-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.