DR. ANTHONY WADE SR. JACKSON (M.D.) – Child & Adolescent Psychiatry Physician, NPI 1154477453
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
202 PSYCHIATRY in MS
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Provider Addresses for DR. ANTHONY WADE SR. JACKSON (M.D.)
Oxford 152, 152, Oxford Street, Bulimba, Brisbane City, Queensland, 4171, Australia
OXFORD, MS 386555392
Phone: (662) 488-8878
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 21 Open Payments records for all available years, with a total value of $260.
Total Amount is formed as General ($260) + Research ($0) + Ownership ($0) = $260.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($182).
Total Amount
$260
General + Research + Ownership
Payments
21
Total payment records
General Amount
$260
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-04-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040223000608 | I | Psychiatry | TN | TBD |
| I20040403000154 | I | Psychiatry | MS | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 38655)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Clinical Social Worker | TN | |
| Psychiatry, Internal Medicine, Sleep Medicine | TN | |
| P S Y C H I A T R Y | TN | |
| P S Y C H I A T R Y | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN |
Reviews
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