COLETTE JACKSON MD
NPI 1174943138
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Birmingham, AL

Q: What is Colette Jackson's NPI number?

The NPI number for Colette Jackson is 1174943138. It was assigned to this individual provider in the NPPES registry on April 17, 2014.

Q: What is Colette Jackson's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Q: When was this NPI record last updated?

The NPPES record for Colette Jackson was last updated on May 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 17, 2014PECOS EnrolledAccepts Medicare Assignment

1000 19TH ST S, BIRMINGHAM, AL 35205(205) 930-0700(205) 930-9127 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 22, 2019, Apr 19, 2019, Jul 9, 2018 (3 updates tracked since 2018).

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About Colette Jackson Md NPPES

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

COLETTE JACKSON MD (NPI 1174943138) is an individual pediatric ophthalmology and strabismus specialist in Birmingham, Alabama, licensed in Alabama (37977) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charleston, and is a graduate of University Of Mississippi School Of Medicine (2014).

NPPES Registry Identity

NPI1174943138

Entity TypeIndividualFemale

Primary Taxonomy207WX0110X

Provider Legal NameCOLETTE JACKSONCredential: MD

Location Address1000 19TH ST SBirmingham, AL 35205-4804

Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200

Phone(205) 930-0700

Fax(205) 930-9127

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2014

Enumeration DateApril 17, 2014

Last NPPES UpdateMay 22, 20193 updates tracked since enumeration

✔ NPI 1174943138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0110X

License✔ Licensed in AL · 37977

Definition

An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.

Also ListedOphthalmologyTaxonomy 207W00000X · License 52176 (SC)

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

1000 19TH ST S, Birmingham, AL 35205

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Secondary Practice Location 1

Location 1171 Ashley AveCharleston, SC 29425 · Phone (843) 792-1414

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.Insurance ›

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

Colette 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 ID3476771577

PECOS Enrollment IDI20190724000707

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.

Areas of Expertise CMS Part B claims 2

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.

Exam to measure eye deviation and range of motion 92060

This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.

26 services23 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

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.

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Other Providers at the Same Location NPPES 12

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

WALTER TYSON PARKER M.D.

Ophthalmology