DR. WILLIAM HENRY JR. JACKSON (M.D., M.B.A) – Emergency Medicine Physician, NPI 1528032208
Emergency Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. WILLIAM HENRY JR. JACKSON (M.D., M.B.A)
913 Eagles Landing Pkwy
Suite 150
Stockbridge, GA 302815011
Phone: (770) 692-5910
Fax: (770) 692-5916
Type: Location
Grove Road, Greenville, Greenville County, South Carolina, 29605, United States
GREENVILLE, SC 296054210
Phone: (864) 455-7899
Fax: (864) 455-5474
Type: Location
Independence Point, Independence Corporate Park, Greenville, Greenville County, South Carolina, 29615, United States
GREENVILLE, SC 296154536
Phone:
Type: Mailing
300 E MCBEE AVE FL 4
GREENVILLE, SC 296012842
Phone: (864) 522-8603
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-02-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041004000631 | I | Emergency Medicine | GA | TBD |
| I20050622000808 | I | Emergency Medicine | AL | TBD |
| I20150206002100 | I | Emergency Medicine | SC | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 96 | 95 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 54 | 51 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 46 | 45 | $0 |
| 99291 | Critical care, first 30-74 minutes | 19 | 19 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 16 | 16 | $0 |
Insurance plans in this area (ZIP 30281)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | NH | |
| Family Practice | SC | |
| - | SC | |
| Infectious Disease, Internal Medicine | MT | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| G A S T R O E N T E R O L O G Y | PA | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| Nurse Practitioner | SC | |
| Certified Registered Nurse Anesthetist (Crna) | WV |
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