Christophe Eugene Jackson, PA
Physician Assistant in Atlanta, GA. Individual provider (NPI-1).
NPI number1982185443
StatusActive
Last updated in NPPESOct 22, 2025
Details
- NPI
- 1982185443
- Entity type
- Individual (NPI-1)
- Name
- Christophe Eugene Jackson
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2018
- Certification date
- Oct 22, 2025
- Last updated
- Oct 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 9212 | GA | Yes |
| 2084A2900X | Psychiatry & Neurology, Neurocritical Care | 80827 | GA | |
| 2084A2900X | Psychiatry & Neurology, Neurocritical Care | PA0006179 | CO | |
| 363A00000X | Physician Assistant | 8683 | WI |
Practice location
2001 Peachtree Rd Ne Ste 575Atlanta, GA 30309-1476
Phone 678-904-7158
Mailing address
10099 Ridgegate Pkwy Ste 480Lone Tree, CO 80124-5537
Phone 720-599-3074 · Fax 720-360-1195
Other practice locations
285 Boulevard Ne Ste 415
Atlanta, GA 30312-4210
Atlanta, GA 30312-4210
Phone 404-265-4400
10099 Ridgegate Pkwy Ste 480
Lone Tree, CO 80124-5537
Lone Tree, CO 80124-5537
Phone 720-599-3074 · Fax 720-360-1195
1000 N Oak Ave
Marshfield, WI 54449-5703
Marshfield, WI 54449-5703
Phone 715-387-5511
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