GREGORY DWAIN JACKSON M.D.
NPI 1104889070
Radiology - Diagnostic Radiology in Birmingham, AL

Q: What is Gregory Jackson's NPI number?

The NPI number for Gregory Jackson is 1104889070. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Q: What is Gregory Jackson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Jackson was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since April 10, 2006PECOS Enrolled

2010 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL 35209(205) 877-1990(205) 824-8111 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gregory Dwain Jackson M.d. NPPES

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

GREGORY DWAIN JACKSON M.D. (NPI 1104889070) is an individual diagnostic radiology provider in Birmingham, Alabama, licensed in Alabama (11549) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104889070

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameGREGORY DWAIN JACKSONCredential: M.D.

Location Address2010 BROOKWOOD MEDICAL CTR DRBirmingham, AL 35209-6804

Mailing Address2090 Columbiana Rd, Suite 4400Birmingham, AL 35216-2153 · (205) 824-8000 · Fax (205) 824-8111

Phone(205) 877-1990

Fax(205) 824-8111

Sole ProprietorNo

Enumeration DateApril 10, 2006

Last NPPES UpdateNovember 29, 2007

✔ NPI 1104889070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in AL · 11549

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

2010 BROOKWOOD MEDICAL CTR DR, Birmingham, AL 35209

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Other Identifiers 2

Medicare UPINC76157AL

Other51017074AL · Blue Cross/blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory Dwain Jackson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35209 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

Most-billed visit code 99213

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.

BBH BMC, LLC

General Acute Care Hospital