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JAMES W JACKSON MD NPI 1467547836


NPI Information

NPI: 1467547836
Provider Name: JAMES W JACKSON, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
450 GEORGIA AVE
STE B
STATESBORO, GA
ZIP 30458
Phone: (912) 489-4123
Get Directions

James W Jackson, MD is a nephrology internal medicine in Statesboro, GA with 36 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. James W Jackson, MD NPI is 1467547836. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:1988

The provider's business location address is:

450 GEORGIA AVE
STE B
STATESBORO, GA
ZIP 30458
Phone: (912) 489-4123
Fax: (912) 764-4977

The NPI 1467547836 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Urinalysis, manual test (HCPCS:81002)
  • Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
  • Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Home dialysis services per month, patient 20 years of age or older (HCPCS:90966)
  • Hemodialysis procedure with one physician evaluation (HCPCS:90935)
  • Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)

The enumeration date for this NPI number is 10/3/2006 and was last updated on 10/9/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology034372GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000569687HMEDICAIDGEORGIA
2000569687TMEDICAIDGEORGIA
3000569687XMEDICAIDGEORGIA
4366237OTHERGEORGIAWELLCARE
5000569687SMEDICAIDGEORGIA
610063368OTHERGEORGIAAMERIGROUP
7390006768OTHERGEORGIARAILROAD MEDICARE
8000569687DMEDICAIDGEORGIA
9000569687GMEDICAIDGEORGIA
10000569687RMEDICAIDGEORGIA
11000569687EMEDICAIDGEORGIA
12000569687QMEDICAIDGEORGIA
13000569687VMEDICAIDGEORGIA
1439BDCBHMEDICARE PINGEORGIA
15000569687FMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.