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WESLEY MATTHEW JACKSON M.D.
NPI 1225396690
Pediatrics - Neonatal-Perinatal Medicine in Durham, NC

Active since April 24, 2012PECOS Enrolled
5801 MOUNTAIN ISLAND DR, DURHAM, NC 27713(817) 428-2404 Get Directions Write a Review

NPPES record last updated: January 6, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Wesley Matthew Jackson M.d. NPPES

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

WESLEY MATTHEW JACKSON M.D. (NPI 1225396690) is an individual neonatal-perinatal medicine provider in Durham, North Carolina, licensed in North Carolina (207903) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225396690
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameWESLEY MATTHEW JACKSONCredential: M.D.
Location Address5801 MOUNTAIN ISLAND DRDurham, NC 27713-8909
Mailing Address5801 Mountain Island DrDurham, NC 27713-8909 · (817) 428-2404
Phone(817) 428-2404
Sole ProprietorNo
Enumeration DateApril 24, 2012
Last NPPES UpdateJanuary 6, 2018
✔ NPI 1225396690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NC · 207903
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5801 MOUNTAIN ISLAND DR, Durham, NC 27713
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wesley Matthew Jackson M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Wesley Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of North Carolina At Chapel Hill
7.6 mi
Anesthesiology
101 MANNING DR
Chapel Hill, NC 27514
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,797 clinicians in this Medicare group
NPI 1780669200 (984) 974-1000

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

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 Wesley Jackson's NPI number?

The NPI number for Wesley Jackson is 1225396690. It was assigned to this individual provider in the NPPES registry on April 24, 2012.

Where is Wesley Jackson located?

Wesley Jackson practices at 5801 Mountain Island Dr, Durham, NC 27713. The listed phone number is (817) 428-2404.

What is Wesley Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Wesley Jackson enrolled in Medicare?

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

Which organization bills Medicare for Wesley Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wesley Jackson reassigns Medicare benefits to University Of North Carolina At Chapel Hill (Chapel Hill, NC). The 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 Wesley Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wesley Jackson was last updated on January 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.