JAMES W JACKSON MD NPI 1467547836

NPI Information

  • NPI: 1467547836
  • Provider Name: JAMES W JACKSON, MD
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 450 GEORGIA AVE
    STE B
    STATESBORO, GA
    ZIP 30458
  • Phone: (912) 489-4123

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NPI Details

James W Jackson, MD is a nephrology internal medicine in Statesboro, GA with 38 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. James W Jackson, MD NPI is 1467547836. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:1988

The provider's business location address is:

450 GEORGIA AVE
STE B
STATESBORO, GA
ZIP 30458
Phone: (912) 489-4123
Fax: (912) 764-4977

The NPI 1467547836 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.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Urinalysis, manual test (HCPCS:81002)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Hemodialysis procedure with physician evaluation (HCPCS:90935)
  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Initial hospital observation care per day, typically 70 minutes (HCPCS:99220)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Dialysis services, 1 physician visit per month (20 years or older) (HCPCS:90962)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 10/3/2006 and was last updated on 10/9/2013.

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
1207RN0300XInternal MedicineNephrology034372GEORGIAYes

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
1000569687HMEDICAIDGEORGIA
2000569687TMEDICAIDGEORGIA
3000569687XMEDICAIDGEORGIA
4366237OTHERGEORGIAWELLCARE
5000569687SMEDICAIDGEORGIA
610063368OTHERGEORGIAAMERIGROUP
7390006768OTHERGEORGIARAILROAD MEDICARE
8000569687DMEDICAIDGEORGIA
9000569687GMEDICAIDGEORGIA
10000569687RMEDICAIDGEORGIA
11000569687EMEDICAIDGEORGIA
12000569687QMEDICAIDGEORGIA
13000569687VMEDICAIDGEORGIA
1439BDCBHMEDICARE PINGEORGIA
15000569687FMEDICAIDGEORGIA

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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