DR. ELIZABETH WOOD JACKSON PH.D.
NPI 1477882272
Psychologist - Clinical in Raleigh, NC
About Dr. Elizabeth Wood Jackson Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ELIZABETH WOOD JACKSON PH.D. (NPI 1477882272) is an individual clinical provider in Raleigh, North Carolina, licensed in North Carolina (2399) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Elizabeth Wood Jackson Ph.d. 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 Reassignment
Medicare enrollment records show Elizabeth Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Raleigh, NC 27605
- Reassigned Medicare billing, North Carolina enrollment
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 27605 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 Elizabeth Jackson's NPI number?
The NPI number for Elizabeth Jackson is 1477882272. It was assigned to this individual provider in the NPPES registry on December 8, 2009.
Where is Elizabeth Jackson located?
Elizabeth Jackson practices at 122 Saint Marys St, Raleigh, NC 27605. The listed phone number is (919) 423-2293.
What is Elizabeth Jackson's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Elizabeth Jackson enrolled in Medicare?
Yes. Elizabeth 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 organization bills Medicare for Elizabeth Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Jackson reassigns Medicare benefits to Elizabeth W Jackson Phd PLLC (Raleigh, NC). The 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 Elizabeth Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Elizabeth Jackson was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Elizabeth Wood Jackson, PH.D. · NPI 1477882272
Clinical provider in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since December 8, 2009.
## Identity
- **NPI:** 1477882272 (Entity type: Individual)
- **Enumerated:** December 8, 2009
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 2399 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 122 SAINT MARYS ST, Raleigh, NC 27605-1809
- **Phone:** (919) 423-2293
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Elizabeth W Jackson Phd PLLC (NPI 1306199658, Raleigh, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** September 11, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1477882272) · Data from the CMS NPPES public registry.