Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jackson L Gates, MD

Individual provider General Practice Physician · NPI 1962418400

Dr. Jackson L Gates, MD is a General Practice Physician in Conyers, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1880 Lancaster Dr
Conyers, GA 30013-6433
Phone: (678) 591-6509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 038767 (GA)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 038767 (GA)

Record details

NPI number1962418400
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 1, 2006
Last updated in NPPESAugust 10, 2010

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