DR. JORDAN VAN JACKSON (DO) – Infectious Disease Physician, NPI 1225598865
Infectious Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
12,378 INTERNAL MEDICINE in FL
Provider Addresses for DR. JORDAN VAN JACKSON (DO)
119 Oakfield Dr
Brandon, FL 335115779
Phone: (813) 681-5551
Fax: (813) 916-2944
Type: Location
Brandon Regional Hospital, 119, Oakfield Drive, Brandon, Hillsborough County, Florida, 33511, United States
BRANDON, FL 335115779
Phone: (813) 681-5551
Fax: (813) 916-2944
Type: Location
3909 Galen Ct Ste 103
Sun City Center, FL 335736824
Phone: (727) 787-4379
Type: Location
4016 SUN CITY CENTER BLVD
SUN CITY CENTER, FL 335735256
Phone: (813) 634-3301
Type: Location
Pleasant Knoll Drive, Tampa, Hillsborough County, Florida, 33543, United States
TAMPA, FL 336473667
Phone: (713) 447-0122
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $904.
Total Amount is formed as General ($904) + Research ($0) + Ownership ($0) = $904.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($178).
Total Amount
$904
General + Research + Ownership
Payments
30
Total payment records
General Amount
$904
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Paratek Pharmaceuticals, Inc. | $178 |
| ABBVIE INC. | $168 |
| ViiV Healthcare Company | $162 |
| Gilead Sciences, Inc. | $125 |
| Melinta Therapeutics, LLC | $106 |
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: 2024-07-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240701000592 | I | Internal Medicine | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33511)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Internal Medicine | FL | |
| Infectious Disease | FL | |
| Infectious Disease, Internal Medicine | FL | |
| Internal Medicine | FL |
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