JAMES W JR. JACKSON (MD) – Nephrology Physician, NPI 1467547836

JAMES W JR. JACKSON (MD) is a healthcare provider. based in Statesboro, Georgia. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. 034372 (GA). The NPI Number for JAMES W JR. JACKSON (MD) is 1467547836

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
JAMES W JR. JACKSON (MD)
NPI
1467547836
Phone
(912) 489-4123
Address
450 GEORGIA AVE
Enumeration Date
3 October 2006
Last Update Date
9 October 2013

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
9128712200
Graduation Year
1988 (38 years ago)
PAC ID
8022025428
Professional Enrollment ID
I20090601000283
Address ID
GA304585590ST450XXAVEX302
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

431 NEPHROLOGY in GA

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Provider Addresses for JAMES W JR. JACKSON (MD)

  • 450, Georgia Avenue, Olde Towne, Stadium Walk, Statesboro, Bulloch County, Georgia, 30458, United States

    STE B

    STATESBORO, GA 30458

    Phone: (912) 489-4123

    Fax: (912) 764-4977

    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 $488.

Total Amount is formed as General ($488) + Research ($0) + Ownership ($0) = $488.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($133).

Total Amount

$488

General + Research + Ownership

Payments

29

Total payment records

General Amount

$488

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

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: 2009-06-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090601000283INephrologyGATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes952296$0
81002Urinalysis, manual test467287$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes339137$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes304249$0
99214Established patient office or other outpatient visit, 30-39 minutes275199$0
View full utilization report →

Insurance plans in this area (ZIP 30458)

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Provider's Procedures

JAMES W JR. JACKSON (MD) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYGA81002Urinalysis, manual test917511

Reviews

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Frequently asked questions

What is JAMES W JR. JACKSON (MD)'s NPI number?
JAMES W JR. JACKSON (MD)'s NPI is 1467547836 — the number used across U.S. healthcare to identify this provider.
Is JAMES W JR. JACKSON (MD) still an active registrant?
JAMES W JR. JACKSON (MD) carries an active NPI according to the public dataset.
How would a patient describe JAMES W JR. JACKSON (MD)'s focus?
For JAMES W JR. JACKSON (MD), the primary taxonomy reads as Nephrology Physician. Clinical services aligned with this taxonomy classification.
Is JAMES W JR. JACKSON (MD) associated with Statesboro?
Public fields place JAMES W JR. JACKSON (MD) around Statesboro, Georgia. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for JAMES W JR. JACKSON (MD) is noted as October 3, 2006 where the registry provides it.

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