DR. EMANUEL MASON JACKSON MD
NPI 1093399115
Emergency Medicine in Charlotte, NC

Q: 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.

Q: What is Emanuel Jackson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: 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 2 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.

Active since May 06, 2021PECOS EnrolledAccepts Medicare Assignment

1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 381-6803(704) 355-8356 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2026, May 5, 2026, Aug 9, 2024 and 1 more (4 updates tracked since 2021).

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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 Carolina East Medical Center, and is a graduate of University Of South Carolina School Of Medicine (2021).

NPPES Registry Identity

NPI1093399115

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. EMANUEL MASON JACKSONCredential: MD

Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5871

Mailing Address5116 Western Blvd Apt 1020Jacksonville, NC 28546-0026 · (803) 207-5803

Phone(704) 381-6803

Fax(704) 355-8356

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2021

Enumeration DateMay 6, 2021

Last NPPES UpdateMay 19, 20264 updates tracked since enumeration

NPPES CertifiedMay 19, 2026

✔ NPI 1093399115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in SC · 92122✔ Licensed in NC · 2025-02424

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1000 BLYTHE BLVD, Charlotte, NC 28203

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9032512637

PECOS Enrollment IDI20251219001265

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolina East Medical Center

Acute Care Hospitals · New Bern, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340131

Location2000 Neuse BlvdNew Bern, NC 28560 · Craven County

Emergency services Birthing friendly

Physician 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.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JENNIFER EGAN M.D.

Pathology (Clinical Pathology/Laboratory Medicine)