DR. ANTHONY ROBERT JACKSON DO - NPI 1124879457 - Emergency Medicine in Mobile, AL

Q: What is Anthony Jackson's NPI number?

The NPI number for Anthony Jackson is 1124879457. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Q: What is Anthony 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 Anthony Jackson was last updated on February 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Anthony Robert Jackson Do NPPES

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

DR. ANTHONY ROBERT JACKSON DO (NPI 1124879457) is an individual emergency medicine provider in Mobile, Alabama, licensed in Alabama (DO.4412) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Mobile.

NPPES Registry Identity

NPI1124879457

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. ANTHONY ROBERT JACKSONCredential: DO

Location Address181 HILLCREST RDMobile, AL 36608-5306

Mailing AddressPo Box 746450Atlanta, GA 30374-6450 · (866) 401-3057 · Fax (318) 868-6430

Phone(251) 341-3800

Fax(251) 660-6333

Sole ProprietorNo

Enumeration DateMarch 27, 2024

Last NPPES UpdateFebruary 27, 2026

NPPES CertifiedFebruary 27, 2026

✔ NPI 1124879457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in AL · DO.4412

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

181 HILLCREST RD, Mobile, AL 36608

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Secondary Practice Location 1

Location 12451 University Hospital Dr Rm 714Mobile, AL 36617-2300 · Phone (251) 471-7000 · Fax (251) 471-7096

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anthony Robert Jackson Do 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 36608 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

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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 8

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

DR. DEMETRIUS ANTOINE SIMMONS DO

Emergency Medicine