DR. JORDAN VAN JACKSON DO
NPI 1225598865
Internal Medicine - Infectious Disease in Sun City Center, FL

Q: What is Jordan Jackson's NPI number?

The NPI number for Jordan Jackson is 1225598865. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Q: What is Jordan Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Jackson was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 March 20, 2019PECOS EnrolledAccepts Medicare Assignment

4016 SUN CITY CENTER BLVD, SUN CITY CENTER, FL 33573(813) 634-3301 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 8, 2025, Aug 12, 2024, Mar 21, 2019 (3 updates tracked since 2019).

On this page

About Dr. Jordan Van Jackson Do NPPES

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

DR. JORDAN VAN JACKSON DO (NPI 1225598865) is an individual infectious disease provider in Sun City Center, Florida, licensed in Florida (OS20918) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Hca Florida South Shore Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225598865

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameDR. JORDAN VAN JACKSONCredential: DO

Location Address4016 SUN CITY CENTER BLVDSun City Center, FL 33573-5256

Mailing Address10762 Pleasant Knoll DrTampa, FL 33647-3667 · (713) 447-0122

Phone(813) 634-3301

Sole ProprietorNo

Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2019

Enumeration DateMarch 20, 2019

Last NPPES UpdateAugust 8, 20253 updates tracked since enumeration

NPPES CertifiedAugust 8, 2025

✔ NPI 1225598865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in FL · OS20918

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License OS20918 (FL)

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

4016 SUN CITY CENTER BLVD, Sun City Center, FL 33573

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Secondary Practice Locations 2

Location 1119 Oakfield DrBrandon, FL 33511-5779 · Phone (813) 681-5551 · Fax (813) 916-2944

Location 23909 Galen Ct Ste 103Sun City Center, FL 33573-6824 · Phone (727) 787-4379

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Dr. Jordan Van Jackson Do 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 ID244774339

PECOS Enrollment IDI20240701000592

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 Jordan Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jose R Prieto MD PA

16 mi

Infectious Disease

214 MORRISON RD STE 104
Brandon, FL 33511

Reassigned Medicare billing, Florida enrollment
14 clinicians in this Medicare group

NPI 1689708844 (813) 681-6474

Florida Surgical Clinic LLC

20 mi

Surgery

701 MANATEE AVE W, SUITE 105
Bradenton, FL 34205

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

NPI 1932550373 (941) 592-9240

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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

446 services123 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

102 services96 patients

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.

50 services35 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.

19 services19 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

15 services14 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida South Shore Hospital

Acute Care Hospitals · Sun City Center, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100259

Location4016 Sun City Center BlvdSun City Center, FL 33573 · Hillsborough County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33573 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 16

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

KELLY PINSKEY RDN, LDN

Dietitian, Registered