NPI Details
DR. Anna Martin Jackson, MD is a legal medicine in Memphis, TN with 39 years of experience. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. DR. Anna Martin Jackson, MD NPI is 1093752198. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:1987
The provider's business location address is:
5142 STAGE RD
SUITE 100
MEMPHIS, TN
ZIP 38134-164
Phone: (901) 382-2040
Fax: (901) 386-5242
The NPI 1093752198 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.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Automated urinalysis test (HCPCS:81003)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
The enumeration date for this NPI number is 5/31/2006 and was last updated on 1/7/2014.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 173000000X | Legal Medicine | | MD0000021009 | TENNESSEE | Yes |
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 Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | F12990 | MEDICARE UPIN | | |
| 2 | 3056520 | MEDICARE ID-TYPE UNSPECIFIED | | |
