Doctor profile · Federal record
Dr. Kevin Jackson, DO
Ophthalmology Physician (CMS: Ophthalmology) · Student in an Organized Health Care Education/Training Program · Atlanta, GA
- NPI 1104381573
- Accepts Medicare
- 7 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
800 Mount Vernon Hwy Ne Ste 130
Atlanta, GA 303284293
(404) 256-1125 - Additional location
-
327 Beach 19Th St
Far Rockaway, NY 116914423
(718) 869-7000 - Mailing address
-
906 Wedgewood Ter
Westminster, MD 211583654
Credentials & registration
- NPI registered
- February 2019 — 7 yrs on file
- Profile last updated
- September 20, 2023
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 207W00000X — NUCC code
- State license (1)
- Georgia #95793
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104381573. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$207
Transactions
4
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Sight Sciences, INC. | 2 | $140.76 | |
| Glaukos Corporation | 1 | $42.43 | |
| Vantage Technology LLC | 1 | $23.37 |
By nature of payment
Frequently asked questions
What is Dr. Kevin Jackson's medical specialty?
Dr. Kevin Jackson practices Ophthalmology Physician in Atlanta, GA.
Where does Dr. Kevin Jackson practice?
Dr. Kevin Jackson practices at 800 Mount Vernon Hwy Ne Ste 130, Atlanta, GA 303284293. Office phone: 4042561125.
What is Dr. Kevin Jackson's NPI?
Dr. Kevin Jackson's National Provider Identifier (NPI) is 1104381573, issued by NPPES.
Does Dr. Kevin Jackson accept Medicare assignment?
Yes. Dr. Kevin Jackson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.