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

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: August 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 17, 2020, Dec 19, 2019 (2 updates tracked since 2019).

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 UpdateAugust 17, 20202 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
Open in Google Maps ↗

Other Identifiers 1

Other000000566553Anthem

Medicare Participation & PECOS CMS

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

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.

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.

When was this NPI record last updated?

The NPPES record for Mark Jackson was last updated on August 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.