Search › Georgia › 101YM0800X
Jordan Jackson
NPI 1144109323 · on the registry since 2025 · sole proprietor
Practice
- Address
- 2751 Buford Hwy Ne Ste 700
Atlanta, GA 30324 - Phone
- (404) 948-6975
- Organisation at this address
- Theratopia Llc
Siegel And Dolt Pc
Hero Wellness, Llc
Arc Hospice Ga, Llc
The Havyn Space LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 65
Additional practice sites
- 125 Lee Byrd Rd, Loganville, GA
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia