GREGORY DWAIN JACKSON M.D. NPI 1104889070

NPI Information

  • NPI: 1104889070
  • Provider Name: GREGORY DWAIN JACKSON, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2010 BROOKWOOD MEDICAL CTR DR
    BIRMINGHAM, AL
    ZIP 35209
  • Phone: (205) 877-1990

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NPI Details

Gregory Dwain Jackson, M.D. is a diagnostic radiology radiology in Birmingham, AL. 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.

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 (HCPCS:71045)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Screening mammography (HCPCS:77067)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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