DR. AMBER JACKSON (DO) – Family Medicine Physician, NPI 1770105967

DR. AMBER JACKSON (DO) is a healthcare provider. based in Texarkana, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. DO.3199 (AL). The NPI Number for DR. AMBER JACKSON (DO) is 1770105967

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMBER JACKSON (DO)
NPI
1770105967
Phone
(870) 779-6000
Address
3417 U OF A WAY
Enumeration Date
11 May 2020
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
WILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2514357289
Graduation Year
2020 (6 years ago)
PAC ID
3678990777
Group Practice PAC ID
2264727155
Professional Enrollment ID
I20230619000125
Address ID
AL365321812FA750XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:6State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

Provider Addresses for DR. AMBER JACKSON (DO)

  • 3417 U OF A WAY

    TEXARKANA, AR 718541419

    Phone: (870) 779-6000

    Type: Mailing

  • 300 E 6TH ST

    TEXARKANA, AR 718545207

    Phone: (870) 779-6000

    Type: Location

  • 750 MORPHY AVE

    FAIRHOPE, AL 365321899

    Phone: (251) 928-2375

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2023-06-19

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
I20230619000125IFamily PracticeALTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes17681$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2721$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1813$0
99239Hospital discharge day management, more than 30 minutes1818$0
99238Hospital discharge day management, 30 minutes or less1212$0
View full utilization report →

Insurance plans in this area (ZIP 71854)

Loading plans...

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: 2264727155View full group profile
NameSpecialtyState
Internal MedicineAL
Internal MedicineAL
-AL
Geriatric Medicine, Internal MedicineLA
Internal MedicineAL
Physician AssistantAL
Internal MedicineAL
Internal MedicineAL
Nurse PractitionerAL
Family PracticeMS

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

What NPI should I save for DR. AMBER JACKSON (DO)?
Save NPI 1770105967 if you need a stable reference for DR. AMBER JACKSON (DO).
Is DR. AMBER JACKSON (DO) currently active in the NPI registry?
CMS-published data lists DR. AMBER JACKSON (DO) as an active registrant.
What kind of provider is DR. AMBER JACKSON (DO)?
The page reflects Family Medicine Physician for DR. AMBER JACKSON (DO). Clinical services aligned with this taxonomy classification.
Where does public data place DR. AMBER JACKSON (DO)?
The snapshot lists Texarkana, Arkansas for DR. AMBER JACKSON (DO); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

300, East 6th Street, Texarkana, Miller County, Arkansas, 71854, United States
NPI: 1568469211
300, East 6th Street, Texarkana, Miller County, Arkansas, 71854, United States
NPI: 1255338943

ANDREA LEE YORK (MD)

Family Medicine Physician
PO BOX 1326
NPI: 1558368498
East 6th Street, Texarkana, Miller County, Arkansas, 71854, United States
NPI: 1639177959

Southwest Family Practice Clinic

Family Medicine Physician
2600 Saint Michael Dr
NPI: 1215935234

DR. VERNON DEAN JR. BOWMAN (MD)

Family Medicine Physician
2, South Constitution Avenue, Ashdown, Little River County, Arkansas, 71822, United States
NPI: 1053311068

SPANISH TRACE CLINIC

Family Medicine Physician
PO BOX 811
NPI: 1639163363

MR. JAMES RANDALL SARRETT (MD)

Family Medicine Physician
Cara Cook, 2101, Galleria Oaks Drive, Texarkana, Bowie County, Texas, 75503, United States
NPI: 1669467056

JAMES EDWARD OGLESBY (MD)

Family Medicine Physician
6806, Oakleaf Lane, Texarkana, Miller County, Arkansas, 71854, United States
NPI: 1366432247