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JENNAH-LI EULALIA JACKSON DMD
NPI 1205624327
Dentist - General Practice in Snow Hill, NC

Active since April 28, 2025PECOS Enrolled
6 PROFESSIONAL DR, SNOW HILL, NC 28580(252) 747-8162(252) 747-8163 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennah-li Eulalia Jackson Dmd NPPES

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

JENNAH-LI EULALIA JACKSON DMD (NPI 1205624327) is an individual general practice provider in Snow Hill, North Carolina, licensed in North Carolina (14370) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Univ Of Pittsburgh School Of Dental Medicine (2025).

NPPES Registry Identity

NPI1205624327
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJENNAH-LI EULALIA JACKSONCredential: DMD
Location Address6 PROFESSIONAL DRSnow Hill, NC 28580-1333
Mailing Address7 Professional DrSnow Hill, NC 28580-1332 · (412) 485-1426
Phone(252) 747-8162
Fax(252) 747-8163
Sole ProprietorNo
Medical School CMSUniv Of Pittsburgh School Of Dental MedicineGraduated 2025
Enumeration DateApril 28, 2025
Last NPPES UpdateSeptember 18, 2025
NPPES CertifiedSeptember 18, 2025
✔ NPI 1205624327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 14370
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

6 PROFESSIONAL DR, Snow Hill, NC 28580
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennah-li Eulalia Jackson Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325535941
PECOS Enrollment IDI20251016001008
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 28580 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 7

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

DR. SPENCER DAIL DMD
Dentist
6 PROFESSIONAL DR
SNOW HILL, NC 28580
Greene County (252) 747-3846
MRS. KRISTEN FISCHER JILG D.M.D.
Student in an Organized Health Care Education/Training Program
6 PROFESSIONAL DR
SNOW HILL, NC 28580
Greene County (252) 747-3846
DR. GLORIA ENIBETTE ESTRADA DMD
Dentist (General Practice)
6 PROFESSIONAL DR
SNOW HILL, NC 28580
Greene County (252) 747-3846
GAVIN MUNDY DMD
Dentist (General Practice)
6 PROFESSIONAL DR
SNOW HILL, NC 28580
Greene County (252) 747-3846
ROBERT DOHERTY DDS
Dentist (General Practice)
6 PROFESSIONAL DR
SNOW HILL, NC 28580
Greene County (252) 747-3846
GREENE COUNTY HEALTH CARE INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
6 PROFESSIONAL DR
SNOW HILL, NC 28580
Greene County (252) 747-3846
DR. COURTENAY MICHELE LONG DMD
Dentist (General Practice)
6 PROFESSIONAL DR
SNOW HILL, NC 28580
Greene County (252) 747-3846

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 Jennah-li Jackson's NPI number?

The NPI number for Jennah-li Jackson is 1205624327. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Jennah-li Jackson located?

Jennah-li Jackson practices at 6 Professional Dr, Snow Hill, NC 28580. The listed phone number is (252) 747-8162.

What is Jennah-li Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jennah-li Jackson enrolled in Medicare?

Yes. Jennah-li Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Jennah-li Jackson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list Jennah-li 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 Jennah-li Jackson was last updated on September 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.