DR. EMANUEL MASON JACKSON MD
NPI 1093399115
Emergency Medicine in Charlotte, NC
About Dr. Emanuel Mason Jackson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EMANUEL MASON JACKSON MD (NPI 1093399115) is an individual emergency medicine provider in Charlotte, North Carolina, licensed in South Carolina (92122) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains a secondary practice location in Camp Lejeune.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Dr. Emanuel Mason 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.
Medicare Billing Reassignments
2Medicare enrollment records show Emanuel Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Statesville, NC 28677
- Reassigned Medicare billing, North Carolina enrollment
- 580 clinicians in this Medicare group
New Bern, NC 28560
- Reassigned Medicare billing, North Carolina enrollment
- 63 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carolinas Medical Center-Northeast
Acute Care Hospitals · Concord, NCCarolina East Medical Center
Acute Care Hospitals · New Bern, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
CHARLOTTE, NC 28203
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 Emanuel Jackson's NPI number?
The NPI number for Emanuel Jackson is 1093399115. It was assigned to this individual provider in the NPPES registry on May 6, 2021.
Where is Emanuel Jackson located?
Emanuel Jackson practices at 1000 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 381-6803.
What is Emanuel Jackson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Emanuel Jackson enrolled in Medicare?
Yes. Emanuel 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 organizations bill Medicare for Emanuel Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emanuel Jackson reassigns Medicare benefits to 2 organizations: Wake Forest Emergency Providers (Statesville, NC) and Emergency Medicine Physicians Of Craven County, PLLC (New Bern, NC). Each 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 Emanuel Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Emanuel Jackson accept?
Health plans from Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. list Emanuel 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.
Is Emanuel Jackson affiliated with any hospitals?
According to CMS data, Emanuel Jackson is affiliated with Carolinas Medical Center-Northeast and Carolina East Medical Center.
When was this NPI record last updated?
The NPPES record for Emanuel Jackson was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Dr. Emanuel Mason Jackson, MD · NPI 1093399115
Emergency Medicine physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since May 6, 2021.
## Identity
- **NPI:** 1093399115 (Entity type: Individual)
- **Enumerated:** May 6, 2021
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 92122 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 BLYTHE BLVD, Charlotte, NC 28203-5871
- **Phone:** (704) 381-6803 · **Fax:** (704) 355-8356
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Wake Forest Emergency Providers (NPI 1396216735, Statesville, NC); Emergency Medicine Physicians Of Craven County, PLLC (NPI 1164462586, New Bern, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Carolina School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** May 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1093399115) · Data from the CMS NPPES public registry.