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ROOSEVELT T JACKSON JR. M.D.
NPI 1295951374
Family Medicine in Riviera Beach, FL

Active since April 17, 2007PECOS Enrolled
31 W 20TH ST STE 100, RIVIERA BEACH, FL 33404(561) 510-0471(561) 331-2715 Get Directions Write a Review

NPPES record last updated: December 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2018, Jun 14, 2018 (2 updates tracked since 2018).

About Roosevelt T Jackson Jr. M.d. NPPES

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

ROOSEVELT T JACKSON JR. M.D. (NPI 1295951374) is an individual family medicine provider in Riviera Beach, Florida, licensed in Florida (ME45529) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Plantation.

NPPES Registry Identity

NPI1295951374
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROOSEVELT T JACKSON JR.Credential: M.D.
Location Address31 W 20TH ST STE 100Riviera Beach, FL 33404-6155
Mailing Address133 N State Road 7Plantation, FL 33317-3100 · (754) 244-5132 · Fax (866) 510-7555
Phone(561) 510-0471
Fax(561) 331-2715
Sole ProprietorYes
Enumeration DateApril 17, 2007
Last NPPES UpdateDecember 17, 20182 updates tracked since enumeration
✔ NPI 1295951374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME45529
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License ME45529 (FL)
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License ME45529 (FL)
Also ListedOphthalmologyTaxonomy 207W00000X · License ME45529 (FL)
31 W 20TH ST STE 100, Riviera Beach, FL 33404
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Secondary Practice Location 1

Location 1133 N State Road 7Plantation, FL 33317 · Phone (954) 587-7075 · Fax (954) 587-7076

Other Identifiers 1

Medicaid043150800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roosevelt T Jackson Jr. 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 33404 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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 Roosevelt Jackson's NPI number?

The NPI number for Roosevelt Jackson is 1295951374. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Roosevelt Jackson located?

Roosevelt Jackson practices at 31 W 20th St Ste 100, Riviera Beach, FL 33404. The listed phone number is (561) 510-0471.

What is Roosevelt Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Roosevelt Jackson enrolled in Medicare?

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

What insurance does Roosevelt Jackson accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Roosevelt 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 Roosevelt Jackson was last updated on December 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.