NPIMap

Individual provider Active NPI

Bryon Jackson, MD

  • Blood Banking & Transfusion Medicine Physician
  • Atlanta, GA
National Provider Identifier
1306990908
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Blood Banking & Transfusion Medicine PhysicianTaxonomy code 207ZB0001X
License
D0086876 Issued in MD
Practice address
80 Jesse Hill Jr Dr SE Dept of
Atlanta, GA 30303-3031
Phone
(404) 616-5800
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Blood Banking & Transfusion Medicine Physician 207ZB0001X 076898 GA
Blood Banking & Transfusion Medicine Physician 207ZB0001X D0086876 MD Primary
Internal Medicine Physician 207R00000X MT188698 PA

Addresses

Primary practice location

80 Jesse Hill Jr Dr SE Dept of
Atlanta, GA 30303-3031

Mailing address

3400 Spruce St
1 Maloney Building
Philadelphia, PA 19104-4206
Phone (215) 662-3957

Other practice location 1

3400 Spruce St
1 Maloney Building
Philadelphia, PA 19104-4206
Phone (215) 662-3957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20190509000020 MD Practitioner - Pathology 4688956469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-5555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT188698PAMDInternal Medicine Physician
076898GAMDBlood Banking & Transfusion Medicine Physician
D0086876MDMDBlood Banking & Transfusion Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chester River Hospital Center CurrentSince Oct 1, 2024 Accepting new patients
Chester River Health Center CurrentSince Oct 1, 2024 Accepting new patients
Univ of MD Pathology Associates P a Current Accepting new patients
Chester River Hospital Center Current Accepting new patients
Univ of MD Pathology Associates P a CurrentSince Apr 29, 2019 Accepting new patients

Locations

419 W Redwood St
Ste 200
Baltimore, MD 21201
Phone (410) 328-3408

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300

219 S Washington St
Easton, MD 21601

Organizations & group practices 5

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 7

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1306990908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "1 MALONEY BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JESSE HILL JR DR SE DEPT OF",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033031",
            "telephone_number": "404-616-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Spruce St",
            "address_2": "1 Maloney Building",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044206",
            "country_code": "US",
            "telephone_number": "215-662-3957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BRYON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "GA",
            "license": "076898",
            "primary": false
        },
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "MD",
            "license": "D0086876",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT188698",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.