1. Home
  2. Directory
  3. Mississippi
  4. Gulfport
  5. Nurse Practitioner
  6. NPI Profile

AVERY JACKSON APRN, FNP-C
NPI 1548798218
Nurse Practitioner - Family in Gulfport, MS

Active since May 25, 2017PECOS EnrolledAccepts Medicare Assignment
14231 SEAWAY RD STE 2003, GULFPORT, MS 39503(228) 594-3377(228) 594-6688 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Feb 10, 2021, May 25, 2017 (3 updates tracked since 2017).

About Avery Jackson Aprn, Fnp-c NPPES

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

AVERY JACKSON APRN, FNP-C (NPI 1548798218) is an individual family provider in Gulfport, Mississippi, licensed in Mississippi (902036) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2017).

NPPES Registry Identity

NPI1548798218
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameAVERY JACKSONCredential: APRN, FNP-C
Location Address14231 SEAWAY RD STE 2003Gulfport, MS 39503-4635
Mailing Address14231 Seaway Rd Ste 2003Gulfport, MS 39503-4635 · (228) 594-3377 · Fax (228) 594-6688
Phone(228) 594-3377
Fax(228) 594-6688
Sole ProprietorYes
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2017
Enumeration DateMay 25, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2021
✔ NPI 1548798218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 902036
14231 SEAWAY RD STE 2003, Gulfport, MS 39503
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Avery Jackson Aprn, Fnp-c 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 ID7012268188
PECOS Enrollment IDI20180928001996
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 39503 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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

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

GULF COAST RECOVERY CLINIC
Clinic/Center (Rehabilitation, Substance Use Disorder)
14231 SEAWAY RD STE 2003
GULFPORT, MS 39503
Harrison County (228) 594-3377

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 Avery Jackson's NPI number?

The NPI number for Avery Jackson is 1548798218. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Avery Jackson located?

Avery Jackson practices at 14231 Seaway Rd Ste 2003, Gulfport, MS 39503. The listed phone number is (228) 594-3377.

What is Avery Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Avery Jackson enrolled in Medicare?

Yes. Avery 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 Avery Jackson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Avery 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 Avery Jackson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.