DR. MICHAEL S JACKSON (MD) – Family Medicine Physician, NPI 1306830062

DR. MICHAEL S JACKSON (MD) is a healthcare provider. based in Rome, Georgia. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 055376 (GA). The NPI Number for DR. MICHAEL S JACKSON (MD) is 1306830062

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL S JACKSON (MD)
NPI
1306830062
Phone
(706) 266-2383
Address
506 RIVERSIDE PKWY NE
Enumeration Date
8 September 2005
Last Update Date
12 August 2019

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
4385607332
Group Practice PAC ID
6002953916
Professional Enrollment ID
I20191127001925
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MICHAEL S JACKSON (MD)

  • 506, Riverside Parkway Northeast, Summerville Park, Rome, Floyd County, Georgia, 30161, United States

    STE 200

    ROME, GA 301612902

    Phone: (706) 266-2383

    Type: Location

  • PO BOX 40

    SILVER CREEK, GA 301730040

    Phone: (706) 266-9090

    Fax: (706) 204-8797

    Type: Mailing

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 30161)

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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: 6002953916View full group profile
NameSpecialtyState
Internal MedicineNC
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)NC
-MA
Diagnostic RadiologyTX
Mental Health CounselorSC
Physician AssistantSC
Nurse PractitionerSC
Nurse PractitionerSC
-SC

Reviews

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Frequently asked questions

What number should I use to identify DR. MICHAEL S JACKSON (MD) for billing?
Administrative and clinical systems typically use NPI 1306830062 for DR. MICHAEL S JACKSON (MD).
Quick check: is DR. MICHAEL S JACKSON (MD) active?
Public NPPES data shows DR. MICHAEL S JACKSON (MD) with an active NPI status right now.
How should patients interpret DR. MICHAEL S JACKSON (MD)'s specialty?
The extract shows Family Medicine Physician for DR. MICHAEL S JACKSON (MD). Clinical services aligned with this taxonomy classification.
What city is tied to DR. MICHAEL S JACKSON (MD)?
The directory associates DR. MICHAEL S JACKSON (MD) with Rome, Georgia. Check all listed addresses for suites or satellite offices.
Can I export DR. MICHAEL S JACKSON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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