CORY DANIEL JACKSON
NPI 1609365170
Internal Medicine - Interventional Cardiology in Wilmington, NC
About Cory Daniel Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORY DANIEL JACKSON (NPI 1609365170) is an individual interventional cardiology provider in Wilmington, North Carolina, licensed in North Carolina (321188) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Onslow Memorial Hospital, and is a graduate of University Of Florida College Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Cory Daniel Jackson 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 Reassignments
6Medicare enrollment records show Cory Jackson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilmington, NC 28401
- Reassigned Medicare billing, North Carolina enrollment
- 710 clinicians in this Medicare group
Wilmington, NC 28401
- Reassigned Medicare billing, North Carolina enrollment
- 335 clinicians in this Medicare group
Bolivia, NC 28422
- Reassigned Medicare billing, North Carolina enrollment
- 639 clinicians in this Medicare group
Burgaw, NC 28425
- Reassigned Medicare billing, North Carolina enrollment
- 157 clinicians in this Medicare group
Charleston, SC 29401
- Reassigned Medicare billing, South Carolina enrollment
- 281 clinicians in this Medicare group
Elon, NC 27244
- Reassigned Medicare billing, North Carolina enrollment
- 835 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Onslow Memorial Hospital
Acute Care Hospitals · Jacksonville, NCNovant Health New Hanover Regional Medical Center
Acute Care Hospitals · Wilmington, NCNovant Health Brunswick Medical Center
Acute Care Hospitals · Supply, NCJ Arthur Dosher Memorial Hospital
Critical Access Hospitals · Southport, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
WILMINGTON, NC 28401
WILMINGTON, NC 28401
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 Cory Jackson's NPI number?
The NPI number for Cory Jackson is 1609365170. It was assigned to this individual provider in the NPPES registry on May 9, 2018.
Where is Cory Jackson located?
Cory Jackson practices at 1415 Physicians Dr, Wilmington, NC 28401. The listed phone number is (518) 859-5714.
What is Cory Jackson's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.
Is Cory Jackson enrolled in Medicare?
Yes. Cory 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 organizations bill Medicare for Cory Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cory Jackson reassigns Medicare benefits to 6 organizations: Novant Health Medical Group Coastal Region, LLC (Wilmington, NC), Novant Health New Hanover Regional Medical Center LLC (Wilmington, NC), Brunswick Community Hospital, LLC (Bolivia, NC), Pender Memorial Hospital Incorporated (Burgaw, NC), 24 On Physicians Of Sc, LLC (Charleston, SC) and 1 more organization, 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 Cory Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cory Jackson accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Cory 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.
Is Cory Jackson affiliated with any hospitals?
According to CMS data, Cory Jackson is affiliated with Onslow Memorial Hospital, Novant Health New Hanover Regional Medical Center, Novant Health Brunswick Medical Center and J Arthur Dosher Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Cory Jackson was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Cory Daniel Jackson · NPI 1609365170
Interventional Cardiology physician in Wilmington, North Carolina. Individual provider, active in the CMS NPPES registry since May 9, 2018.
## Identity
- **NPI:** 1609365170 (Entity type: Individual)
- **Enumerated:** May 9, 2018
- **Primary specialty:** Internal Medicine - Interventional Cardiology · taxonomy 207RI0011X
- **State license:** 321188 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1415 PHYSICIANS DR, Wilmington, NC 28401-7338
- **Phone:** (518) 859-5714
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Novant Health Medical Group Coastal Region, LLC (NPI 1649865791, Wilmington, NC); Novant Health New Hanover Regional Medical Center LLC (NPI 1932958584, Wilmington, NC); Brunswick Community Hospital, LLC (NPI 1669725198, Bolivia, NC); Pender Memorial Hospital Incorporated (NPI 1033242987, Burgaw, NC); 24 On Physicians Of Sc, LLC (NPI 1144877655, Charleston, SC); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Florida College Of Medicine, class of 2018
## Record status
- **NPPES last updated:** August 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1609365170) · Data from the CMS NPPES public registry.