DR. IVAN D. JACKSON MD NPI 1205839362

NPI Details

DR. Ivan D. Jackson, MD is an internal medicine in Dothan, AL with 46 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Ivan D. Jackson, MD NPI is 1205839362. 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:1979

The provider's business location address is:

210 WESTSIDE DR
DOTHAN, AL
ZIP 36303-928
Phone: (334) 793-5074
Fax: (334) 793-6460

The NPI 1205839362 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)
• Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Blood test, comprehensive group of blood chemicals (HCPCS:80053)
• Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
• Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
• Insertion of needle into vein for collection of blood sample (HCPCS:36415)
• Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
• X-ray of chest, 2 views (HCPCS:71046)
• Injection of drug or substance under skin or into muscle (HCPCS:96372)
• Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
• Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
• Automated urinalysis test (HCPCS:81003)
• Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 5/23/2005 and was last updated on 3/3/2021.

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:

Other Identifiers

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