MR. DAVID RAY JACKSON NP
NPI 1215079983
Nurse Practitioner - Family in Valdosta, GA

Q: What is David Jackson's NPI number?

The NPI number for David Jackson is 1215079983. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Q: What is David Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for David Jackson was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 February 12, 2007PECOS EnrolledAccepts Medicare Assignment

2301 N ASHLEY ST, VALDOSTA, GA 31602(229) 270-2403(229) 468-0688 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Mr. David Ray Jackson Np NPPES

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

MR. DAVID RAY JACKSON NP (NPI 1215079983) is an individual family provider in Valdosta, Georgia, licensed in Georgia (RN154383) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1215079983

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. DAVID RAY JACKSONCredential: NP

Location Address2301 N ASHLEY STValdosta, GA 31602-2620

Mailing Address204 E 4th StOcilla, GA 31774-1539 · (229) 468-9166 · Fax (229) 468-9188

Phone(229) 270-2403

Fax(229) 468-0688

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateFebruary 12, 2007

Last NPPES UpdateJuly 25, 2025

NPPES CertifiedJuly 25, 2025

✔ NPI 1215079983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN154383

2301 N ASHLEY ST, Valdosta, GA 31602

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, 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

Mr. David Ray Jackson Np 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 ID8325937956

PECOS Enrollment IDI20040312000173

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

Medicare enrollment records show David Jackson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Central Primary Care Center, Inc

Same address

Federally Qualified Health Center (FQHC)

2301 N ASHLEY ST
Valdosta, GA 31602

Reassigned Medicare billing, Georgia enrollment

NPI 1467223818 (229) 468-9166

Sgmc Affiliated Services LLC

0.2 mi

Multi-Specialty

2501 N PATTERSON ST
Valdosta, GA 31602

Reassigned Medicare billing, Georgia enrollment
61 clinicians in this Medicare group

NPI 1114740362 (229) 433-1000

North Oak Family Medicine LLC

0.7 mi

Internal Medicine

2718 N OAK ST
Valdosta, GA 31602

Reassigned Medicare billing, Georgia enrollment
3 clinicians in this Medicare group

NPI 1417668021 (229) 242-5145

Care Medical Center LLC

0.8 mi

Exclusive Provider Organization

2804 N OAK ST, SUITE C
Valdosta, GA 31602

Reassigned Medicare billing, Georgia enrollment
47 clinicians in this Medicare group

NPI 1063521250 (229) 241-8925

South Georgia Emergency Medicine Associates PC

41 mi

Emergency Medicine

915 GORDON AVE
Thomasville, GA 31792

Reassigned Medicare billing, Georgia enrollment
147 clinicians in this Medicare group

NPI 1386903649 (229) 228-2000

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 9

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.

225 services68 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

77 services29 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.

56 services40 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

51 services32 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

40 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

37 services37 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sgmc Health

Acute Care Hospitals · Valdosta, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110122

Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31602 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers50 claims93 services$5.94 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier19 claims19 services$52.14 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KIMBERLY MARSH FNP-BC

Nurse Practitioner (Family)