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

CHARLES E JACKSON JR. M.D.
NPI 1366658734
Family Medicine in Dublin, GA

Q: What is Charles Jackson's NPI number?

The NPI number for Charles Jackson is 1366658734. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Q: What is Charles Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Jackson was last updated on June 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 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 May 15, 2007PECOS Enrolled

107 FAIRVIEW PARK DR, DUBLIN, GA 31021(478) 864-3448(478) 864-1288 Get Directions Write a Review

NPPES record last updated: June 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2019, Jan 2, 2019, Dec 30, 2018 (3 updates tracked since 2018).

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About Charles E Jackson Jr. M.d. NPPES

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

CHARLES E JACKSON JR. M.D. (NPI 1366658734) is an individual family medicine provider in Dublin, Georgia, licensed in Georgia (014513) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bainbridge.

NPPES Registry Identity

NPI1366658734

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCHARLES E JACKSON JR.Credential: M.D.

Location Address107 FAIRVIEW PARK DRDublin, GA 31021-2501

Mailing Address1506 Telfair StDublin, GA 31021-3908 · (478) 272-3446

Phone(478) 864-3448

Fax(478) 864-1288

Sole ProprietorNo

Enumeration DateMay 15, 2007

Last NPPES UpdateJune 28, 20263 updates tracked since enumeration

✔ NPI 1366658734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 014513

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.

107 FAIRVIEW PARK DR, Dublin, GA 31021

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Secondary Practice Location 1

Location 1406 S West StBainbridge, GA 39819-3918 · Phone (229) 246-6417

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles E 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 31021 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers14 claims25 services$6.33 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

DUBLIN NEPHROLOGY ASSOCIATES LLC

Internal Medicine (Nephrology)