Dr. Jackson L Gates, M.D.
Dr. Jackson L Gates is a General Practice Physician provider (General Practice) practicing in Conyers, GA, registered in the NPPES registry with NPI 1962418400 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1962418400 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Jackson L Gates |
| Credential | M.D. |
| Sex | Male |
| Practice address | Conyers, GA, 30013 |
| Phone | 6785916509 |
| Enumeration date | 2006-08-01 |
| Last updated in NPPES | 2010-08-10 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | Primary | 038767 | GA |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | Secondary | 038767 | GA |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Jackson Gates, M.D. NPI: 1962418400 Taxonomy: 208D00000X (General Practice Physician) Address: Conyers, GA, 30013
Verify this record
Cross-check NPI 1962418400 against the authoritative CMS record: view Dr. Jackson L Gates on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-08-10.