Provider Type Icon

GREGORY DWAIN JACKSON M.D. NPI 1104889070


NPI Information

NPI: 1104889070
Provider Name: GREGORY DWAIN JACKSON, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: RADIOLOGY ASSOCIATES OF BIRMINGHAM, P.C.

PECOS Registration: Yes

Address:
2010 BROOKWOOD MEDICAL CTR DR
BIRMINGHAM, AL
ZIP 35209
Phone: (205) 877-1990
Get Directions

Gregory Dwain Jackson, M.D. is a diagnostic radiology radiology in Birmingham, AL with 41 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Gregory Dwain Jackson, M.D. NPI is 1104889070. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:1983

The provider's business location address is:

2010 BROOKWOOD MEDICAL CTR DR
BIRMINGHAM, AL
ZIP 35209-804
Phone: (205) 877-1990
Fax: (205) 824-8111

The NPI 1104889070 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.

  • X-ray of chest, 1 view, front (HCPCS:71010)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • X-ray of abdomen, single view (HCPCS:74000)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • CT scan of abdomen and pelvis (HCPCS:74176)
  • Nuclear medicine study with CT imaging skull base to mid-thigh (HCPCS:78815)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Nuclear medicine study of lung ventilation and blood circulation in the lungs (HCPCS:78582)
  • Bone and/or joint imaging, whole body (HCPCS:78306)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)

The enumeration date for this NPI number is 4/10/2006 and was last updated on 11/29/2007.


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
12085R0202XRadiologyDiagnostic Radiology11549ALABAMAYes

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
1C76157MEDICARE UPINALABAMA
251017074OTHERALABAMABLUE CROSS/BLUE SHIELD

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: 11/14/2023

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.