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KATHY M JACKSON D.O.
NPI 1215971379
Family Medicine in La Follette, TN

Active since June 16, 2006PECOS Enrolled
502 W CENTRAL AVE, LA FOLLETTE, TN 37766(423) 562-1705 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathy M Jackson D.o. NPPES

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

KATHY M JACKSON D.O. (NPI 1215971379) is an individual family medicine provider in La Follette, Tennessee, licensed in Michigan (5101013273) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215971379
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATHY M JACKSONCredential: D.O.
Location Address502 W CENTRAL AVELa Follette, TN 37766-3400
Mailing AddressPo Box 111Cape Girardeau, MO 63702-0111 · (423) 562-1705
Phone(423) 562-1705
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215971379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101013273
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
502 W CENTRAL AVE, La Follette, TN 37766
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Other Identifiers 2

Medicare UPINH78941MO
Medicare ID-Type Unspecified441877TN · Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathy M Jackson D.o. 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 37766 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 6

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

MRS. RHONDA S. CROSS LCSW
Social Worker
502 W CENTRAL AVE
LA FOLLETTE, TN 37766
Campbell County (423) 562-4190
CUMBERLAND GAP MEDICAL
Nurse Practitioner (Family)
502 W CENTRAL AVE, SUITE 2
LA FOLLETTE, TN 37766
Campbell County (423) 201-9799
RIGGS DRUG STORE
Pharmacy (Community/Retail Pharmacy)
502 W CENTRAL AVE
LA FOLLETTE, TN 37766
Campbell County (423) 562-5235
KIDS CARE PEDIATRICS
Nurse Practitioner (Primary Care)
502 W CENTRAL AVE
LA FOLLETTE, TN 37766
Campbell County (423) 201-1755
MR. ROBERT L FANNON
Pharmacist
502 W CENTRAL AVE, RIGGS DRUG
LAFOLLETTE, TN 37766
Campbell County (423) 562-5235
L & M INC.
Pharmacy (Long Term Care Pharmacy)
502 W CENTRAL AVE
LA FOLLETTE, TN 37766
Campbell County (423) 494-1820

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 Kathy Jackson's NPI number?

The NPI number for Kathy Jackson is 1215971379. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Kathy Jackson located?

Kathy Jackson practices at 502 W Central Ave, La Follette, TN 37766. The listed phone number is (423) 562-1705.

What is Kathy Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kathy Jackson enrolled in Medicare?

Yes. Kathy Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathy Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.