ANDREW THOMAS JACKSON (M.D.) – Orthopaedic Surgery Physician, NPI 1093056988

ANDREW THOMAS JACKSON (M.D.) is a healthcare provider. based in Fort stewart, Georgia. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 52399 (SC). The NPI Number for ANDREW THOMAS JACKSON (M.D.) is 1093056988

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW THOMAS JACKSON (M.D.)
NPI
1093056988
Phone
(912) 435-6965
Address
1061 Harmon Ave
Enumeration Date
3 March 2013
Last Update Date
24 October 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
4178205610
Graduation Year
2013 (13 years ago)
PAC ID
8729309042
Group Practice PAC ID
7416865845
Professional Enrollment ID
I20230905002369
Address ID
MO657218807OZ3050XBLVD501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:13State licenses:3Digital endpointsOther names

933 ORTHOPEDIC SURGERY in GA

Provider Addresses for ANDREW THOMAS JACKSON (M.D.)

  • 1061 Harmon Ave

    Fort Stewart, GA 313145641

    Phone: (912) 435-6965

    Type: Location

  • 8 N Williams St

    Metter, GA 304394547

    Phone: (912) 685-3550

    Fax: (912) 685-3553

    Type: Location

  • 810 Towne Park Dr Ste 200

    Rincon, GA 313265167

    Phone: (912) 826-2533

    Fax: (912) 826-2572

    Type: Location

  • 60 Exchange St Ste B1

    Richmond Hill, GA 313247646

    Phone: (912) 756-2273

    Fax: (912) 756-3773

    Type: Location

  • 16915 Highway 67 Ste A

    Statesboro, GA 304585819

    Phone: (912) 681-2500

    Fax: (912) 681-2025

    Type: Location

  • 166 Memorial Dr

    Jesup, GA 315450101

    Phone: (912) 427-0800

    Fax: (912) 427-6029

    Type: Location

  • 101 W Mulberry Blvd, Ste 140

    Pooler, GA 31322

    Phone: (912) 748-5111

    Fax: (912) 748-6699

    Type: Location

  • 602 E Long St

    Claxton, GA 304175914

    Phone: (912) 739-3275

    Fax: (912) 439-4011

    Type: Location

  • 210 E DERENNE AVE

    SAVANNAH, GA 314056736

    Phone: (912) 644-5300

    Fax: (912) 644-5241

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $7,574.

Total Amount is formed as General ($7,574) + Research ($0) + Ownership ($0) = $7,574.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Smith+Nephew, Inc. ($3,340).

Total Amount

$7,574

General + Research + Ownership

Payments

26

Total payment records

General Amount

$7,574

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

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: 2023-09-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20181025003153IOrthopedic SurgeryGATBD
I20220803000707IOrthopedic SurgeryMATBD
I20230905002369IOrthopedic SurgeryMOTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg12026$0
27447Replacement of knee joint, both sides of knee8281$0
27130Replacement of thigh bone and hip joint with prosthesis6767$0
20610Aspiration and/or injection of fluid from large joint3632$0
99214Established patient office or other outpatient visit, 30-39 minutes3126$0
View full utilization report →

Insurance plans in this area (ZIP 31314)

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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: 7416865845View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to ANDREW THOMAS JACKSON (M.D.)?
NPI 1093056988 is assigned to ANDREW THOMAS JACKSON (M.D.) under the national enumeration system.
Is ANDREW THOMAS JACKSON (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does ANDREW THOMAS JACKSON (M.D.) work in?
You can think of ANDREW THOMAS JACKSON (M.D.) as practicing within Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place ANDREW THOMAS JACKSON (M.D.)?
The snapshot lists Fort Stewart, Georgia for ANDREW THOMAS JACKSON (M.D.); download NPPES for the complete set.
Is ANDREW THOMAS JACKSON (M.D.) a real provider?
This page reflects official NPPES data for NPI 1093056988. Always confirm identity and privileges with the practice and licensing boards.

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