STEPHEN T JACKSON (MD) – Internal Medicine Physician, NPI 1790799211

STEPHEN T JACKSON (MD) is a healthcare provider. based in Foley, Alabama. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 00015458 (AL). The NPI Number for STEPHEN T JACKSON (MD) is 1790799211

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN T JACKSON (MD)
NPI
1790799211
Phone
(251) 949-3710
Address
1613 N MCKENZIE ST
Enumeration Date
28 July 2006
Last Update Date
14 October 2025

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2519493400
Graduation Year
1987 (39 years ago)
PAC ID
3577758952
Group Practice PAC ID
5193741759
Professional Enrollment ID
I20101111000014
Address ID
AL365352247FO1613XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

2,215 INTERNAL MEDICINE in AL

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Provider Addresses for STEPHEN T JACKSON (MD)

  • McKenzie Street, Foley, Baldwin County, Alabama, United States

    FOLEY, AL 365352247

    Phone: (251) 949-3710

    Fax: (251) 949-3715

    Mailing address matches the actual address.

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: 2010-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (926 days ago).

Enrollment records

1

Earliest due date

2023-11-30

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
I20101111000014IInternal MedicineAL2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes249119$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes203105$0
99239Hospital discharge day management, more than 30 minutes142139$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes10096$0
99238Hospital discharge day management, 30 minutes or less1717$0
View full utilization report →

Insurance plans in this area (ZIP 36535)

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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: 5193741759View full group profile

Reviews

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Frequently asked questions

What is the standard ID for STEPHEN T JACKSON (MD) in the U.S.?
In the U.S., STEPHEN T JACKSON (MD) is identified by NPI 1790799211.
Should I treat STEPHEN T JACKSON (MD) as an active provider?
Patients and plans typically see STEPHEN T JACKSON (MD) as active in the national extract.
Which specialty label fits STEPHEN T JACKSON (MD)?
NPPES ties STEPHEN T JACKSON (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to STEPHEN T JACKSON (MD)?
The directory associates STEPHEN T JACKSON (MD) with Foley, Alabama. Check all listed addresses for suites or satellite offices.
Who maintains STEPHEN T JACKSON (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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