DR. DAVID B JACKSON (MD) – Dermatology Physician, NPI 1710928296

DR. DAVID B JACKSON (MD) is a healthcare provider. based in Northport, Alabama. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 00018093 (AL). The NPI Number for DR. DAVID B JACKSON (MD) is 1710928296

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID B JACKSON (MD)
NPI
1710928296
Phone
(205) 345-1520
Address
4410 WATERMELON RD
Enumeration Date
8 June 2006
Last Update Date
23 December 2010

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
2053451520
Graduation Year
1984 (42 years ago)
PAC ID
7618151416
Group Practice PAC ID
4385633908
Professional Enrollment ID
I20110401000468
Address ID
AL354735204NO4410XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

207 DERMATOLOGY in AL

Loading map...

Provider Addresses for DR. DAVID B JACKSON (MD)

  • Watermelon Road, Indian Lake, Northport, Tuscaloosa County, Alabama, 35406, United States

    NORTHPORT, AL 354735204

    Phone: (205) 345-1520

    Fax: (205) 345-1761

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $408.

Total Amount is formed as General ($408) + Research ($0) + Ownership ($0) = $408.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($270).

Total Amount

$408

General + Research + Ownership

Payments

19

Total payment records

General Amount

$408

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110401000468IDermatologyALTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths27756$0
99213Established patient office or other outpatient visit, 20-29 minutes177151$0
17110Destruction of skin growth, 1-14 growths125107$0
17000Destruction of precancer skin growth, 1 growth10088$0
99212Established patient office or other outpatient visit, 10-19 minutes8679$0
View full utilization report →

Insurance plans in this area (ZIP 35473)

Loading plans...

Provider's Procedures

DR. DAVID B JACKSON (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYAL11101Biopsy of each additional growth of skin and/or tissue10266

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385633908View full group profile
NameSpecialtyState
-AL
-AL
Dermatology, Micrographic Dermatologic Surgery (Mds)AL
Nurse PractitionerAL
D E R M A T O L O G YAL
Nurse PractitionerAL
Nurse PractitionerAL
D E R M A T O L O G YAL
Dermatology, Micrographic Dermatologic Surgery (Mds)AL
D E R M A T O L O G YAL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check DR. DAVID B JACKSON (MD) using NPI 1710928296?
NPI 1710928296 belongs to DR. DAVID B JACKSON (MD); compare other details if you need extra assurance.
Is DR. DAVID B JACKSON (MD) still an active registrant?
DR. DAVID B JACKSON (MD) carries an active NPI according to the public dataset.
What expertise is attributed to DR. DAVID B JACKSON (MD)?
DR. DAVID B JACKSON (MD)'s specialty line reads Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DAVID B JACKSON (MD)?
Directory geography for DR. DAVID B JACKSON (MD) centers on Northport, Alabama.
What does 2 location(s) imply?
2 practice locations appear in the available data.

Similar Providers

4410, Watermelon Road, Indian Lake, Northport, Tuscaloosa County, Alabama, 35473, United States
NPI: 1669430872

CATHERINE T. LUCAS (MD)

Dermatology Physician
Watermelon Road, Indian Lake, Northport, Tuscaloosa County, Alabama, 35406, United States
NPI: 1841240363

DR. ROBERT D GRIFFITH (MD)

Dermatology Physician
4410, Watermelon Road, Indian Lake, Northport, Tuscaloosa County, Alabama, 35473, United States
NPI: 1265472195

DR. CHARLES E GAMBLA (MD)

Dermatology Physician
4410, Watermelon Road, Indian Lake, Northport, Tuscaloosa County, Alabama, 35473, United States
NPI: 1275573107

DR. JEFFERY C WEEKS (MD)

Dermatology Physician
Watermelon Road, Indian Lake, Northport, Tuscaloosa County, Alabama, 35406, United States
NPI: 1538100011

DR. MICHAEL L JOHNSON (MD)

Dermatology Physician
Watermelon Road, Indian Lake, Northport, Tuscaloosa County, Alabama, 35406, United States
NPI: 1114968443

DR. CYNTHIA C LUCY (MD)

Dermatology Physician
4410, Watermelon Road, Indian Lake, Northport, Tuscaloosa County, Alabama, 35473, United States
NPI: 1154331791

DR. ADAM RICHARDSON (DO, FAAD)

MOHS-Micrographic Surgery Physician
4410 WATERMELON RD
NPI: 1821482464

MRS. ALICIA O NICHOLS (CRNP)

Dermatology Physician
4410, Watermelon Road, Indian Lake, Northport, Tuscaloosa County, Alabama, 35473, United States
NPI: 1619462843