STEPHANIE LYNN JACKSON (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1821092651

STEPHANIE LYNN JACKSON (M.D.) is a healthcare provider. based in Huntsville, Alabama. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold the professional credentials M.D.. They hold a License No. 23962 (AL). The NPI Number for STEPHANIE LYNN JACKSON (M.D.) is 1821092651

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE LYNN JACKSON (M.D.)
NPI
1821092651
Phone
(256) 533-1480
Address
2904 WESTCORP BLVD SW
Enumeration Date
9 June 2005
Last Update Date
18 July 2008

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2565331480
Graduation Year
1996 (30 years ago)
PAC ID
1153403613
Group Practice PAC ID
1052396249
Professional Enrollment ID
I20100324000185
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for STEPHANIE LYNN JACKSON (M.D.)

  • Westcorp Boulevard Southwest, West Huntsville, Huntsville, Madison County, Alabama, 35805, United States

    SUITE 108

    HUNTSVILLE, AL 358056437

    Phone: (256) 533-1480

    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: 2010-03-24

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
I20100324000185IPathologyALTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity788487$0
88341Special stained specimen slides to examine tissue, each additional procedure605109$0
88342Special stained specimen slides to examine tissue, initial procedure180154$0
88307Pathology examination of tissue using a microscope, moderately high complexity161108$0
88304Pathology examination of tissue using a microscope, moderately low complexity8881$0
View full utilization report →

Insurance plans in this area (ZIP 35805)

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Provider's Procedures

STEPHANIE LYNN JACKSON (M.D.) performs procedures in Anatomic Pathology & Clinical Pathology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYAL88307Pathology examination of tissue using a microscope, moderately high complexity199150

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: 1052396249View full group profile
NameSpecialtyState
P A T H O L O G YAL
P A T H O L O G YAL
P A T H O L O G YAL
P A T H O L O G YAL
P A T H O L O G YAL
P A T H O L O G YAL
P A T H O L O G YMN
P A T H O L O G YGA
P A T H O L O G YAL
P A T H O L O G YAL

Reviews

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Frequently asked questions

What is STEPHANIE LYNN JACKSON (M.D.)'s NPI number?
STEPHANIE LYNN JACKSON (M.D.)'s NPI is 1821092651 — the number used across U.S. healthcare to identify this provider.
Is there an active status for STEPHANIE LYNN JACKSON (M.D.)?
For scheduling context, STEPHANIE LYNN JACKSON (M.D.) is shown as active in the registry.
What area of care is associated with STEPHANIE LYNN JACKSON (M.D.)?
STEPHANIE LYNN JACKSON (M.D.)'s record emphasizes Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for STEPHANIE LYNN JACKSON (M.D.)?
Travel planning: use Huntsville, Alabama as the reference point for STEPHANIE LYNN JACKSON (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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