NPI Details
Calvin R Jackson is an internal medicine in Augusta, GA with 39 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. Calvin R Jackson NPI is 1740398338. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:1987
The provider's business location address is:
2123 WRIGHTSBORO RD
AUGUSTA, GA
ZIP 30904-777
Phone: (706) 736-5244
Fax: (706) 736-5246
The NPI 1740398338 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.
- Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
- Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS:99454)
- Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
- Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
- Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment (HCPCS:99453)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) (HCPCS:G0506)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Hospital discharge day management, 30 minutes or less (HCPCS:99238)
- Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
- Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes (HCPCS:99458)
- Automated urinalysis test (HCPCS:81003)
- Hemoglobin a1c level (HCPCS:83036)
The enumeration date for this NPI number is 8/25/2006 and was last updated on 3/28/2008.
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 |
| 1 | 207R00000X | Internal Medicine | | 16449 | SOUTH CAROLINA | No |
| 2 | 207R00000X | Internal Medicine | | 031265 | GEORGIA | Yes |
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 |
| 1 | E683137611 | MEDICARE ID-TYPE UNSPECIFIED | SOUTH CAROLINA | |
| 2 | 164495 | MEDICAID | SOUTH CAROLINA | |
| 3 | 000623796B | MEDICAID | GEORGIA | |
| 4 | 11BDMQR | MEDICARE PIN | GEORGIA | |