DR. PAUL THOMAS JR. JACKSON (MD) – Internal Medicine Physician, NPI 1154435899

DR. PAUL THOMAS JR. JACKSON (MD) is a healthcare provider. based in Paris, Texas. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. K3760 (TX). The NPI Number for DR. PAUL THOMAS JR. JACKSON (MD) is 1154435899

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL THOMAS JR. JACKSON (MD)
NPI
1154435899
Phone
(903) 739-2888
Address
4550 LAMAR AVE
Enumeration Date
19 August 2006
Last Update Date
23 January 2015

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
9037392888
Graduation Year
1994 (32 years ago)
PAC ID
7618039686
Professional Enrollment ID
I20101103000115
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

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Provider Addresses for DR. PAUL THOMAS JR. JACKSON (MD)

  • 4550, Lamar Avenue, Paris, Lamar County, Texas, 75462, United States

    SUITE 200

    PARIS, TX 754625124

    Phone: (903) 739-2888

    Fax: (903) 739-9643

    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)

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: 2010-11-03

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
I20101103000115IInternal MedicineTXTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes515121$0
36415Insertion of needle into vein for collection of blood sample11677$0
83036Hemoglobin a1c level8834$0
99214Established patient office or other outpatient visit, 30-39 minutes8746$0
99212Established patient office or other outpatient visit, 10-19 minutes7461$0
View full utilization report →

Insurance plans in this area (ZIP 75462)

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Provider's Procedures

DR. PAUL THOMAS JR. JACKSON (MD) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETX83036Hemoglobin A1C level14649

Reviews

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Frequently asked questions

Can I use this page to confirm DR. PAUL THOMAS JR. JACKSON (MD)'s NPI?
Yes. DR. PAUL THOMAS JR. JACKSON (MD) is listed with NPI 1154435899 in the public NPI dataset.
Does CMS list DR. PAUL THOMAS JR. JACKSON (MD) as active?
Yes — DR. PAUL THOMAS JR. JACKSON (MD) is active in the NPI listing used on this page.
What is DR. PAUL THOMAS JR. JACKSON (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for DR. PAUL THOMAS JR. JACKSON (MD) here. Clinical services aligned with this taxonomy classification.
What area does DR. PAUL THOMAS JR. JACKSON (MD) serve?
DR. PAUL THOMAS JR. JACKSON (MD)'s listing highlights Paris, Texas; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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