DR. CLINE THOMAS JACKSON (M.D.) – Emergency Medicine Physician, NPI 1356562185

DR. CLINE THOMAS JACKSON (M.D.) is a healthcare provider. based in Rome, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 059246 (GA). The NPI Number for DR. CLINE THOMAS JACKSON (M.D.) is 1356562185

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. CLINE THOMAS JACKSON (M.D.)
NPI
1356562185
Phone
(706) 509-3278
Address
420 E 2ND AVE
Enumeration Date
1 May 2007
Last Update Date
29 March 2010

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7065095000
Graduation Year
2005 (21 years ago)
PAC ID
7214019272
Group Practice PAC ID
1456635697
Professional Enrollment ID
I20080129000742
Address ID
GA301655621RO304XXSWXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,513 EMERGENCY MEDICINE in GA

Provider Addresses for DR. CLINE THOMAS JACKSON (M.D.)

  • 420 E 2ND AVE

    SUITE 103

    ROME, GA 301613209

    Phone: (706) 509-3278

    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)

CMS reports 6 Open Payments records for all available years, with a total value of $373.

Total Amount is formed as General ($373) + Research ($0) + Ownership ($0) = $373.

Last reported payment date: 2024-01-22 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($319).

Total Amount

$373

General + Research + Ownership

Payments

6

Total payment records

General Amount

$373

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-22

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: 2008-01-29

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
I20080129000742IEmergency MedicineGATBD

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
99285Emergency department visit with high level of medical decision making676608$0
99284Emergency department visit with moderate level of medical decision making9594$0
99291Critical care, first 30-74 minutes9188$0
View full utilization report →

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: 1456635697View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
Nurse PractitionerTN
Nurse PractitionerGA
Emergency MedicineGA
Nurse PractitionerTN
Emergency MedicineGA
Family Practice, Emergency MedicineGA
Emergency MedicineGA
Emergency MedicineNC

Reviews

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Frequently asked questions

How do payers reference DR. CLINE THOMAS JACKSON (M.D.)?
For DR. CLINE THOMAS JACKSON (M.D.), use NPI 1356562185 as the unique 10-digit identifier.
Would DR. CLINE THOMAS JACKSON (M.D.) appear as active to a payer?
You can treat DR. CLINE THOMAS JACKSON (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. CLINE THOMAS JACKSON (M.D.)?
DR. CLINE THOMAS JACKSON (M.D.)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. CLINE THOMAS JACKSON (M.D.) located near Rome?
DR. CLINE THOMAS JACKSON (M.D.) currently maps to Rome, Georgia in this extract.
When was this NPI issued?
Enumeration for DR. CLINE THOMAS JACKSON (M.D.) is noted as May 1, 2007 where the registry provides it.

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