GLORIA M JACKSON M.D. NPI 1235123423

NPI Information

  • NPI: 1235123423
  • Provider Name: GLORIA M JACKSON, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 222 GRAFTON DR
    GRAFTON, VA
    ZIP 23692
  • Phone: (757) 898-7737

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NPI Details

Gloria M Jackson, M.D. is a family medicine in Grafton, VA with 39 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Gloria M Jackson, M.D. NPI is 1235123423. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:1986

The provider's business location address is:

222 GRAFTON DR
GRAFTON, VA
ZIP 23692-152
Phone: (757) 898-7737
Fax: (757) 898-8377

The NPI 1235123423 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.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Hemoglobin a1c level (HCPCS:83036)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Automated urinalysis test (HCPCS:81003)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Magnesium level (HCPCS:83735)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Vitamin d-3 level (HCPCS:82306)
  • Ferritin (blood protein) level (HCPCS:82728)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report (HCPCS:G0403)
  • Iron level (HCPCS:83540)
  • Measurement c-reactive protein for detection of infection or inflammation (HCPCS:86140)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Assessment of emotional or behavioral problems (HCPCS:96127)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)

The enumeration date for this NPI number is 9/2/2005 and was last updated on 2/7/2020.

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
1207Q00000XFamily Medicine0101043609VIRGINIAYes

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
1177855OTHERVIRGINIAANTHEM
2010158745MEDICAIDVIRGINIA
3P00291647OTHERRR/MEDICARE

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: 3/30/2025

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