VIVIAN SAPPHIRA JACKSON
NPI 1285588673
Physical Therapist in Winston Salem, NC
About Vivian Sapphira Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIVIAN SAPPHIRA JACKSON (NPI 1285588673) is an individual physical therapist in Winston Salem, North Carolina, licensed in North Carolina (P24685) and active in the NPI registry since February 2026. She is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted 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
Vivian Sapphira Jackson 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.
Medicare Billing Reassignments
3Medicare enrollment records show Vivian Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dahlonega, GA 30533
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Independent Physical Therapy Of Georgia, LLC
- 1,061 clinicians in this Medicare group
Cumming, GA 30041
- Reassigned Medicare billing, Georgia enrollment
- 788 clinicians in this Medicare group
Hixson, TN 37343
- Reassigned Medicare billing, Georgia enrollment
- 521 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Vivian Jackson's NPI number?
The NPI number for Vivian Jackson is 1285588673. It was assigned to this individual provider in the NPPES registry on February 24, 2026.
Where is Vivian Jackson located?
Vivian Jackson practices at 1602 S Stratford Rd Ste 130, Winston Salem, NC 27103. The listed phone number is (336) 281-2045.
What is Vivian Jackson's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Vivian Jackson enrolled in Medicare?
Yes. Vivian Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Vivian Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vivian Jackson reassigns Medicare benefits to 3 organizations: Independent Physical Therapy Of Ga, LLC (Dahlonega, GA), Benchmark Physical Therapy, Inc (Cumming, GA) and Agilitas Usa Inc (Hixson, TN). 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 Vivian Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vivian Jackson accept?
Health plans from Blue Cross and Blue Shield of NC list Vivian Jackson 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 Vivian Jackson was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.