Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARK F JACKSON M.D.
NPI 1255470209
Anesthesiology - Addiction Medicine in Saint Augustine, FL

Q: What is Mark Jackson's NPI number?

The NPI number for Mark Jackson is 1255470209. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Q: What is Mark Jackson's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Addiction Medicine, with taxonomy code 207LA0401X.

Q: When was this NPI record last updated?

The NPPES record for Mark Jackson was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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 06, 2007PECOS Enrolled

3930 US 1 S, SAINT AUGUSTINE, FL 32086(352) 283-3568(904) 217-3081 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Aug 17, 2020, Dec 19, 2019 (3 updates tracked since 2019).

On this page

About Mark F Jackson M.d. NPPES

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

MARK F JACKSON M.D. (NPI 1255470209) is an individual addiction medicine provider in Saint Augustine, Florida, licensed in Florida (ME142795) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255470209

Entity TypeIndividualMale

Primary Taxonomy207LA0401X

Provider Legal NameMARK F JACKSONCredential: M.D.

Location Address3930 US 1 SSaint Augustine, FL 32086-7089

Mailing Address4881 Nw 8th Ave, Suite 2Gainesville, FL 32605-4582 · (352) 416-1082 · Fax (352) 373-6144

Phone(352) 283-3568

Fax(904) 217-3081

Sole ProprietorNo

Enumeration DateFebruary 6, 2007

Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration

NPPES CertifiedAugust 17, 2020

✔ NPI 1255470209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiology · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LA0401X

License✔ Licensed in FL · ME142795

Definition

An anesthesiologist who specializes in the diagnosis and treatment of addictions.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 40009 (KY)

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License ME142795 (FL)

3930 US 1 S, Saint Augustine, FL 32086

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Other Identifiers 1

Other000000566553Anthem

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark F 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 Reassignments

Medicare enrollment records show Mark Jackson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bhg Xxxiv, LLC

522 mi

Rehabilitation, Substance Use Disorder

785 CUMBERLAND GAP PARKWAY, SUITE 3
Corbin, KY 40701

Reassigned Medicare billing, Kentucky enrollment
21 clinicians in this Medicare group

NPI 1578986345 (606) 526-9348

Bhg Xxvi, LLC

529 mi

Rehabilitation, Substance Use Disorder

48 INDEPENDENCE DRIVE
Hazard, KY 41701

Reassigned Medicare billing, Kentucky enrollment
20 clinicians in this Medicare group

NPI 1417393414 (606) 487-1646

Bhg Xxv, LLC

539 mi

Rehabilitation, Substance Use Disorder

255 CHURCH STREET, SUITE #203, #204
Pikeville, KY 41501

Reassigned Medicare billing, Kentucky enrollment
20 clinicians in this Medicare group

NPI 1710323894 (606) 437-0047

Bhg Xxiv, LLC

560 mi

Rehabilitation, Substance Use Disorder

628 JEFFERSON AVENUE
Paintsville, KY 41240

Reassigned Medicare billing, Kentucky enrollment
20 clinicians in this Medicare group

NPI 1568808640 (606) 789-6966

Bhg Xxxv, LLC

565 mi

Methadone

1000 ACE DR
Berea, KY 40403

Reassigned Medicare billing, Kentucky enrollment
21 clinicians in this Medicare group

NPI 1558895631 (859) 756-5006

Bhg Xxxiii, LLC

660 mi

Rehabilitation, Substance Use Disorder

2705 OLIVET CHURCH RD
Paducah, KY 42001

Reassigned Medicare billing, Kentucky enrollment
19 clinicians in this Medicare group

NPI 1982027199 (270) 443-0096

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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

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

BRIDGE TO SHORE RECOVERY, LLC

Substance Abuse Rehabilitation Facility

3930 US 1 S
ST AUGUSTINE, FL 32086

St. Johns County (904) 540-4232

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 Mark Jackson's NPI number?

The NPI number for Mark Jackson is 1255470209. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Mark Jackson located?

Mark Jackson practices at 3930 Us 1 S, Saint Augustine, FL 32086. The listed phone number is (352) 283-3568.

What is Mark Jackson's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Addiction Medicine, with taxonomy code 207LA0401X.

Is Mark Jackson enrolled in Medicare?

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

Which organizations bill Medicare for Mark Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Jackson reassigns Medicare benefits to 6 organizations: Bhg Xxxiv, LLC (Corbin, KY), Bhg Xxvi, LLC (Hazard, KY), Bhg Xxv, LLC (Pikeville, KY), Bhg Xxiv, LLC (Paintsville, KY), Bhg Xxxv, LLC (Berea, KY) and 1 more organization, listed in the Medicare section above. Each 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 Mark 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 Mark Jackson was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.