GEOFFREY ALAN JACKMAN MD
NPI 1235210022
Pediatrics - Pediatric Emergency Medicine in San Diego, CA
About Geoffrey Alan Jackman Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEOFFREY ALAN JACKMAN MD (NPI 1235210022) is an individual pediatric emergency medicine provider in San Diego, California, licensed in California (C149126) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1994).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Geoffrey Alan Jackman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Geoffrey Jackman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charleston, SC 29414
- Reassigned Medicare billing, South Carolina enrollment
- Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
- 2,594 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SAN DIEGO, CA 92123
SAN DIEGO, CALIFORNIA 92123
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 Geoffrey Jackman's NPI number?
The NPI number for Geoffrey Jackman is 1235210022. It was assigned to this individual provider in the NPPES registry on October 18, 2006.
Where is Geoffrey Jackman located?
Geoffrey Jackman practices at 3020 Children's Way, San Diego, CA 92123. The listed phone number is (858) 966-8036.
What is Geoffrey Jackman's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Geoffrey Jackman enrolled in Medicare?
Yes. Geoffrey Jackman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Geoffrey Jackman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Geoffrey Jackman reassigns Medicare benefits to University Medical Associates (Charleston, SC). 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 Geoffrey Jackman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Geoffrey Jackman accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next list Geoffrey Jackman 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 Geoffrey Jackman was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Geoffrey Alan Jackman, MD · NPI 1235210022
Pediatric Emergency Medicine physician in San Diego, California. Individual provider, active in the CMS NPPES registry since October 18, 2006.
## Identity
- **NPI:** 1235210022 (Entity type: Individual)
- **Enumerated:** October 18, 2006
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** C149126 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3020 CHILDREN'S WAY, San Diego, CA 92123
- **Phone:** (858) 966-8036
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Medical Associates (NPI 1760413835, Charleston, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 1994
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1235210022) · Data from the CMS NPPES public registry.