GREGORY DWAIN JACKSON (M.D.) – Diagnostic Radiology Physician, NPI 1104889070
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for GREGORY DWAIN JACKSON (M.D.)
Columbiana Road, Edgemont, Homewood, Jefferson County, Alabama, 35209, United States
SUITE 4400
BIRMINGHAM, AL 352162153
Phone: (205) 824-8000
Fax: (205) 824-8111
Type: Mailing
Brookwood Baptist Medical Center, 2010, Brookwood Medical Center Drive, Birmingham, Jefferson County, Alabama, 35209, United States
BIRMINGHAM, AL 352096804
Phone: (205) 877-1990
Fax: (205) 824-8111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-05-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040628001463 | I | Diagnostic Radiology | AL | TBD |
| I20190530001539 | I | Diagnostic Radiology | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 233 | 220 | $0 |
| 76770 | Complete ultrasound scan behind abdominal cavity | 72 | 66 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 55 | 55 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 49 | 48 | $0 |
| 77067 | Screening mammography | 47 | 47 | $0 |
Insurance plans in this area (ZIP 35216)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | AL | 71010 | X-ray of chest, 1 view, front | 1087 | 801 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | AL | |
| Diagnostic Radiology | KY | |
| Diagnostic Radiology | AL | |
| Diagnostic Radiology | AL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | AL | |
| - | AL | |
| Diagnostic Radiology | AL | |
| - | AL |
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