DR. JOSEPH L SR. JACKSON (M.D.) – Family Medicine Physician, NPI 1366483356

DR. JOSEPH L SR. JACKSON (M.D.) is a healthcare provider. based in Waynesboro, Georgia. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 013980 (GA). The NPI Number for DR. JOSEPH L SR. JACKSON (M.D.) is 1366483356

Main info

Male
56 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSEPH L SR. JACKSON (M.D.)
NPI
1366483356
Phone
(706) 554-5147
Address
305 JONES AVE
Enumeration Date
9 June 2006
Last Update Date
11 August 2015

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7065545147
Graduation Year
1970 (56 years ago)
PAC ID
5496841603
Group Practice PAC ID
0840108478
Professional Enrollment ID
I20100216000563
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. JOSEPH L SR. JACKSON (M.D.)

  • 305, Jones Avenue, Waynesboro, Burke County, Georgia, 30830, United States

    WAYNESBORO, GA 308301510

    Phone: (706) 554-5147

    Fax: (706) 554-6111

    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 29 Open Payments records for all available years, with a total value of $489.

Total Amount is formed as General ($489) + Research ($0) + Ownership ($0) = $489.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: PFIZER INC. ($115).

Total Amount

$489

General + Research + Ownership

Payments

29

Total payment records

General Amount

$489

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

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: 2010-02-16

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
I20100216000563IFamily PracticeGATBD

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
80053Blood test, comprehensive group of blood chemicals13694$0
80061Blood test, lipids (cholesterol and triglycerides)12790$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count12180$0
83036Hemoglobin a1c level12059$0
80048Blood test, basic group of blood chemicals (calcium, total)4934$0
View full utilization report →

Insurance plans in this area (ZIP 30830)

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Provider's Procedures

DR. JOSEPH L SR. JACKSON (M.D.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA85610Blood test, clotting time4617

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: 0840108478View full group profile
NameSpecialtyState
Family PracticeGA
Internal MedicineGA
Undefined Non Physician Type (Specify)GA
Nurse PractitionerGA
Physician AssistantGA
Family PracticeGA
Nurse PractitionerGA
Family PracticeGA
Family Practice, Obstetrics/GynecologyGA

Reviews

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Frequently asked questions

What federal number belongs to DR. JOSEPH L SR. JACKSON (M.D.)?
The federal identifier for DR. JOSEPH L SR. JACKSON (M.D.) is NPI 1366483356.
Is DR. JOSEPH L SR. JACKSON (M.D.)'s NPI currently valid?
The extract we use shows DR. JOSEPH L SR. JACKSON (M.D.) as active.
What kind of provider is DR. JOSEPH L SR. JACKSON (M.D.)?
The page reflects Family Medicine Physician for DR. JOSEPH L SR. JACKSON (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. JOSEPH L SR. JACKSON (M.D.)?
The snapshot lists Waynesboro, Georgia for DR. JOSEPH L SR. JACKSON (M.D.); download NPPES for the complete set.
What if Waynesboro, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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