DR. ELIZABETH WOOD JACKSON PH.D.
NPI 1477882272
Psychologist - Clinical in Raleigh, NC

Active since December 08, 2009PECOS EnrolledAccepts Medicare Assignment
122 SAINT MARYS ST, RALEIGH, NC 27605(919) 423-2293 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1477882272
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ELIZABETH WOOD JACKSONCredential: PH.D.
Location Address122 SAINT MARYS STRaleigh, NC 27605-1809
Mailing Address122 Saint Marys StRaleigh, NC 27605-1809 · (919) 423-2293 · Fax (919) 747-9983
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateDecember 8, 2009
Last NPPES UpdateSeptember 11, 2018
NPI 1477882272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NC · 2399
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
122 SAINT MARYS ST, Raleigh, NC 27605

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID42461113
PECOS Enrollment IDI20121119000620
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 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.

New Patient
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 2

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

Psychologist (Clinical)
122 SAINT MARYS ST
RALEIGH, NC 27605
Social Worker (Clinical)
122 SAINT MARYS ST
RALEIGH, NC 27605

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.

What insurance does Elizabeth Jackson accept?

Health plans from Blue Cross and Blue Shield of NC list Elizabeth 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 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 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.