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DR. ANTHONY WADE JACKSON SR. M.D.
NPI 1154477453
Psychiatry & Neurology - Child & Adolescent Psychiatry in Oxford, MS

Active since January 27, 2007PECOS EnrolledAccepts Medicare Assignment
152 HIGHWAY 7 S, OXFORD, MS 38655(662) 488-8878 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Anthony Wade Jackson Sr. M.d. NPPES

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

DR. ANTHONY WADE JACKSON SR. M.D. (NPI 1154477453) is an individual child & adolescent psychiatry provider in Oxford, Mississippi, licensed in Mississippi (14917) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (1991).

NPPES Registry Identity

NPI1154477453
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. ANTHONY WADE JACKSON SR.Credential: M.D.
Location Address152 HIGHWAY 7 SOxford, MS 38655-5392
Mailing Address152 Highway 7 SOxford, MS 38655-5392 · (662) 488-8878
Phone(662) 488-8878
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 1991
Enumeration DateJanuary 27, 2007
Last NPPES UpdateSeptember 9, 2015
✔ NPI 1154477453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MS · 14917
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
152 HIGHWAY 7 S, Oxford, MS 38655
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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. Anthony Wade Jackson Sr. M.d. 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 ID7810883485
PECOS Enrollment IDI20040223000608, I20040403000154
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 Reassignments

4

Medicare enrollment records show Anthony Jackson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Mississippi Commission On Mental Illness/Mental Retardation
30 mi
Primary Care
2890 S LAMAR BLVD
Oxford, MS 38655
  • Reassigned Medicare billing, Mississippi enrollment
  • 31 clinicians in this Medicare group
NPI 1376208173 (662) 234-7521
Yalobusha General Hospital
37 mi
Chiropractor
606 S MAIN ST
Water Valley, MS 38965
  • Reassigned Medicare billing, Mississippi enrollment
  • 38 clinicians in this Medicare group
NPI 1720383862 (662) 473-5143
Vogelfanger And Struble Clinic
76 mi
Psychiatry
6005 PARK AVE, SUITE 630B
Memphis, TN 38119
  • Reassigned Medicare billing, Tennessee enrollment
  • 15 clinicians in this Medicare group
NPI 1508895764 (901) 767-1136
Case Management Inc
80 mi
Case Management
3171 DIRECTORS ROW
Memphis, TN 38131
  • Reassigned Medicare billing, Tennessee enrollment
  • 16 clinicians in this Medicare group
NPI 1326116476 (901) 821-5600

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services15 patients

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. CASSIE BRADSHAW HELMS MS, PCMHT
Counselor (Mental Health)
152 HIGHWAY 7 S
OXFORD, MS 38655
Lafayette County (662) 234-7521
VANESSA WASHINGTON M.ED.
Counselor (Mental Health)
152 HIGHWAY 7 S
OXFORD, MS 38655
Lafayette County (662) 234-7521
ADALYN GRACE MCMURRAY MS
Counselor (Mental Health)
152 HIGHWAY 7 S
OXFORD, MS 38655
Lafayette County (662) 234-7521
MS. KAREN THERESA PEAIRS M.A., J.D.
Counselor (Mental Health)
152 HIGHWAY 7 S
OXFORD, MS 38655
Lafayette County (662) 234-7521
TENCY WEATHERSPOON
Counselor (Professional)
152 HIGHWAY 7 S
OXFORD, MS 38655
Lafayette County (662) 234-7521
JOHN RICE JR. BSW
Social Worker
152 HIGHWAY 7 S
OXFORD, MS 38655
Lafayette County (662) 234-7521
JASMINE JANAY ARMSTRONG LBSW
Social Worker
152 HIGHWAY 7 S
OXFORD, MS 38655
Lafayette County (662) 234-7521
MS. SELENA K RAINER BSW
Social Worker
152 HIGHWAY 7 S
OXFORD, MS 38655
Lafayette County (662) 234-7521

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 Anthony Jackson's NPI number?

The NPI number for Anthony Jackson is 1154477453. It was assigned to this individual provider in the NPPES registry on January 27, 2007.

Where is Anthony Jackson located?

Anthony Jackson practices at 152 Highway 7 S, Oxford, MS 38655. The listed phone number is (662) 488-8878.

What is Anthony Jackson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Anthony Jackson enrolled in Medicare?

Yes. Anthony 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 Anthony Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Jackson reassigns Medicare benefits to 4 organizations: North Mississippi Commission On Mental Illness/Mental Retardation (Oxford, MS), Yalobusha General Hospital (Water Valley, MS), Vogelfanger And Struble Clinic (Memphis, TN) and Case Management Inc (Memphis, TN). 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 Anthony Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Jackson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Anthony 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 Anthony Jackson was last updated on September 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.