TONI JACKSON
NPI 1376939124
Emergency Medicine in Valdosta, GA

Active since April 08, 2015PECOS Enrolled
4280 N VALDOSTA RD, VALDOSTA, GA 31602(229) 259-4135 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 27, 2025, Jan 24, 2019 (2 updates tracked since 2019).

About Toni Jackson NPPES

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

TONI JACKSON (NPI 1376939124) is an individual emergency medicine provider in Valdosta, Georgia, licensed in Florida (174217) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376939124
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameTONI JACKSON
Location Address4280 N VALDOSTA RDValdosta, GA 31602-6814
Mailing Address1782 Caswell PkwyMarietta, GA 30060-9267 · (404) 808-2160
Sole ProprietorNo
Enumeration DateApril 8, 2015
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1376939124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · 174217
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4280 N VALDOSTA RD, Valdosta, GA 31602

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Toni Jackson 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

9

Medicare enrollment records show Toni Jackson reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
915 GORDON AVE
Thomasville, GA 31792
  • Reassigned Medicare billing, Georgia enrollment
  • 147 clinicians in this Medicare group
Emergency Medicine
1412 MILSTEAD AVE NE
Conyers, GA 30012
  • Reassigned Medicare billing, Georgia enrollment
  • 85 clinicians in this Medicare group
Emergency Medicine
1000 JOHNSON FERRY RD
Sandy Springs, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 162 clinicians in this Medicare group
Emergency Medicine
5665 NEW NORTHSIDE DR STE 320
Atlanta, GA 30328
  • Reassigned Medicare billing, Georgia enrollment
  • 12 clinicians in this Medicare group
Emergency Medicine
5665 NEW NORTHSIDE DR STE 320
Atlanta, GA 30328
  • Reassigned Medicare billing, Georgia enrollment
  • 5 clinicians in this Medicare group
Emergency Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 92 clinicians in this Medicare group
Emergency Medicine
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, Georgia enrollment
  • 586 clinicians in this Medicare group
Emergency Medicine
2803 SLATER RD STE 205
Morrisville, NC 27560
  • Reassigned Medicare billing, Georgia enrollment
  • 7 clinicians in this Medicare group
Emergency Medicine
5341 OLD REDWOOD HWY STE 210
Petaluma, CA 94954
  • Reassigned Medicare billing, Georgia enrollment
  • 7 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
114 services111 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
41 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31602 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.

Other Providers at the Same Location NPPES 20

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

General Acute Care Hospital
4280 N VALDOSTA RD
VALDOSTA, GA 31602
Anesthesiologist Assistant
4280 N VALDOSTA RD, DEPT OF ANESTHESIA
VALDOSTA, GA 31602
Family Medicine
4280 N VALDOSTA RD
VALDOSTA, GA 31602
Nurse Anesthetist, Certified Registered
4280 N VALDOSTA RD, DEPT OF ANESTHESIA
VALDOSTA, GA 31602
General Acute Care Hospital
4280 N VALDOSTA RD
VALDOSTA, GA 31602
Anesthesiology
4280 N VALDOSTA RD, DEPT OF ANESTHESIA
VALDOSTA, GA 31602
Specialist
4280 N VALDOSTA RD
VALDOSTA, GA 31602
Emergency Medicine
4280 N VALDOSTA RD
VALDOSTA, GA 31602

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 Toni Jackson's NPI number?

The NPI number for Toni Jackson is 1376939124. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Toni Jackson located?

Toni Jackson practices at 4280 N Valdosta Rd, Valdosta, GA 31602. The listed phone number is (229) 259-4135.

What is Toni Jackson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Toni Jackson enrolled in Medicare?

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

Which organizations bill Medicare for Toni Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toni Jackson reassigns Medicare benefits to 9 organizations: South Georgia Emergency Medicine Associates PC (Thomasville, GA), Walker Lake Emergency Group, PC (Conyers, GA), Northside Emergency Associates, LLC (Sandy Springs, GA), Relymd Virtual Health Ga, LLC (Atlanta, GA), Relymd Virtual Health Tx, PA (Atlanta, GA) and 4 more organizations, 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 Toni Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Toni Jackson accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Health and Oscar Insurance Company list Toni 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 Toni Jackson was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.