Active NPI
Daron L Jackson, PT
- Physical Therapist
- College Park, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008120
- Practice address
- 1901 Phoenix Blvd Ste 120
College Park, GA 30349-5062 - Phone
- (404) 355-8066
- Fax
- (844) 345-6042
- NPI assigned
- Nov 3, 2006
- Last updated
- Jul 1, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008120 | GA | Primary |
Addresses
Primary practice location
1901 Phoenix Blvd Ste 120
College Park, GA 30349-5062
Mailing address
1901 Phoenix Blvd Ste 120
College Park, GA 30349-5062
Phone (404) 355-8066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Peachtree Rd NE
Suite 705
Atlanta, GA 30309-1476
Phone (404) 355-0743
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.9 of 100
- Promoting interoperability
- 94
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT008120 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peachtree Orthopaedic Clinic P.a. | Physical Therapist | Current | Accepting new patients |
| Peachtree Orthopaedic Clinic | Current | Accepting new patients | |
| Peachtree Orthopaedic Clinic PA | Physical Therapist | Current | Accepting new patients |
Locations
2001 Peachtree Rd NE
Ste 705
Atlanta, GA 30309
1901 Phoenix Blvd
Ste 120
College Park, GA 30349
Phone (404) 355-6548
5505 Ptree Dunwoody Rd NE
Sandy Springs, GA 30342
Phone (404) 256-1400
Interoperability endpoints
- daron.jackson.1@8474.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1811912611
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Alpharetta, GA
- NPI 1588802474
-
dba Peachtree Orthopaedic Physical Therapy
- Physical Therapist
- Atlanta, GA
- NPI 1306022264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1366521247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 PHOENIX BLVD STE 120",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303495062",
"telephone_number": "404-355-8066",
"fax_number": "844-345-6042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 PHOENIX BLVD STE 120",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303495062",
"telephone_number": "404-355-8066",
"fax_number": "844-345-6042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "DARON",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Park, GA
- Irie's Behavioral Health Services
- Irie's Home Care Services, Inc.
- Irie's Transportation Services, Inc
- Tawanna Taveine Irving
- Antaures D Jackson, D.C.
- Jamila Shani Jackson
- Oliver Frank Jackson III, RBT-24-383753
- Tawanna Jackson, CERTIFIED PEER RECOV
- Cara Jacskon, DC
- Janine Elaine James, M.ED. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.