Individual
DR. TANJELA M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3620 M L KING JR DR SW, ATLANTA, GA 30331-3711
(404) 696-7300
(404) 699-3514
Mailing address
3620 MARTIN LUTHER KING JR DR SW, ATLANTA, GA 30331-3711
(404) 696-7300
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
054755
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2490487
UNITED HEALTH CARE
GA
01
—
52152577
BCBS
GA
01
—
7368440
CIGNA
GA
05
—
748360477
—
GA
05
—
748360477E
—
GA
05
—
748360477F
—
GA
05
—
748360477G
—
GA
05
—
748360477H
—
GA
05
—
748360477I
—
GA
05
—
748360477J
—
GA
05
—
748360477K
—
GA
01
—
7889745
AETNA
GA
Enumeration date
10/11/2005
Last updated
12/16/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us