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CAROLINE VANDIVER JACKSON MD
NPI 1083119499
Pediatrics - Pediatric Nephrology in Birmingham, AL

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
1600 7TH AVE S, BIRMINGHAM, AL 35233(205) 638-9100 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2024, Jun 15, 2018, Mar 27, 2018 (3 updates tracked since 2018).

About Caroline Vandiver Jackson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINE VANDIVER JACKSON MD (NPI 1083119499) is an individual pediatric nephrology provider in Birmingham, Alabama, licensed in Alabama (MD.48705) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2018).

NPPES Registry Identity

NPI1083119499
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameCAROLINE VANDIVER JACKSONCredential: MD
Location Address1600 7TH AVE SBirmingham, AL 35233-1711
Mailing Address1600 7th Ave SBirmingham, AL 35233-1711 · (205) 638-9781
Phone(205) 638-9100
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2018
Enumeration DateMarch 27, 2018
Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1083119499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in AL · MD.48705
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Also ListedPediatricsTaxonomy 208000000X · License MD.48705 (AL)
1600 7TH AVE S, Birmingham, AL 35233
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caroline Vandiver Jackson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800142787
PECOS Enrollment IDI20250108002745
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Caroline Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Alabama Health Services Foundation, PC
Same address
Pediatrics
1600 7TH AVE S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1356377576 (205) 939-9100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. APRIL HOOPER WEATHERLY CRNP
Nurse Practitioner (Acute Care)
1600 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 939-9175
ROBERT PATRICK RICHTER M.D.
Pediatrics (Pediatric Critical Care Medicine)
1600 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9100
MS. CARLY RAE HAWKINS CRNP
Nurse Practitioner
1600 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9285
DR. MARY ORR M.D.
Hospitalist
1600 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9100
MRS. LAURA NIEMANN OTR/L
Rehabilitation Unit
1600 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9565
AMY URBAN CRNP
Nurse Practitioner (Pediatrics)
1600 7TH AVE S, LOWDER BLDG., SUITE 618
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9918
STEPHANIE BERGER MD
Pediatrics
1600 7TH AVE S, MCWANE BUILDING SUITE 108
BIRMINGHAM, AL 35233
Jefferson County (205) 638-2904
SULA MCELROY GILLESPIE CRNP
Nurse Practitioner (Pediatrics)
1600 7TH AVE S, CHILDRENS OF ALABAMA
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caroline Jackson's NPI number?

The NPI number for Caroline Jackson is 1083119499. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Caroline Jackson located?

Caroline Jackson practices at 1600 7th Ave S, Birmingham, AL 35233. The listed phone number is (205) 638-9100.

What is Caroline Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Caroline Jackson enrolled in Medicare?

Yes. Caroline Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Caroline Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Jackson reassigns Medicare benefits to University Of Alabama Health Services Foundation, PC (Birmingham, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caroline Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caroline Jackson accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Caroline Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Caroline Jackson was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.