NPIMap

Individual provider Active NPI

Ramsey Elliott Jackson, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Atlanta, GA
National Provider Identifier
1275645459
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
047774 Issued in GA
Practice address
2650 Weigelia Rd NE
Atlanta, GA 30345-3969
Phone
(404) 213-3672
Fax
(404) 633-4271
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 047774 GA Primary

Addresses

Primary practice location

2650 Weigelia Rd NE
Atlanta, GA 30345-3969

Mailing address

3904 N Druid Hills Rd
#222
Decatur, GA 30033-3105
Phone (770) 458-1594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040405001397 GA Practitioner - Geriatric Medicine 4789677840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Medical College of Georgia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1647 Colebrook Cir
Decatur, GA 30033-1424
Phone (404) 213-3672

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

  • Interim Healthcare of Atlanta Inc Home health agency, Atlanta, GA, CCN 117067
  • Hospice Atlanta Hospice, Atlanta, GA, CCN 111508
  • Capstone Hospice LLC Hospice, Peachtree Corners, GA, CCN 111774
  • Lenbrook Nursing home, Atlanta, GA, CCN 115296
  • Fountainview Ctr for Alzheimer Nursing home, Atlanta, GA, CCN 115697

Merit-based Incentive Payment System (MIPS)

Final score
21.24 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
R. Elliott Jackson Geriatrics,LLC Geriatric Medicine CurrentSince Jul 1, 2003 Accepting new patients
Lanier Hospice LLC PastSince Feb 6, 2019 Accepting new patients
Fountainview Center LP Past Accepting new patients

Locations

2631 N Druid Hills Rd NE
Atlanta, GA 30329
Phone (404) 325-7994

3904 N Druid Hills Rd
Decatur, GA 30033
Phone (404) 590-4404

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Fountainview Center LPAtlanta, GA, CCN 115697 Skilled nursing facility Adp of the SNF Jan 10, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275645459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 N DRUID HILLS RD",
            "address_2": "#222",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333105",
            "telephone_number": "770-458-1594",
            "fax_number": "770-458-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 WEIGELIA RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453969",
            "telephone_number": "404-213-3672",
            "fax_number": "404-633-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "RAMSEY",
        "middle_name": "ELLIOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "047774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.