DR. MALAKA BAHARAH JACKSON M.D.
NPI 1609806264
Pediatrics - Pediatric Endocrinology in Charlotte, NC

Active since July 03, 2006PECOS Enrolled
201 QUEENS RD, CHARLOTTE, NC 28204(704) 316-5285 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 26, 2020, Mar 17, 2018, Dec 15, 2017 and 3 more (6 updates tracked since 2017).

About Dr. Malaka Baharah Jackson M.d. NPPES

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

DR. MALAKA BAHARAH JACKSON M.D. (NPI 1609806264) is an individual pediatric endocrinology provider in Charlotte, North Carolina, licensed in North Carolina (2017-01294) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609806264
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameDR. MALAKA BAHARAH JACKSONCredential: M.D.
Location Address201 QUEENS RDCharlotte, NC 28204-3217
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7834
Sole ProprietorNo
Enumeration DateJuly 3, 2006
Last NPPES UpdateOctober 26, 20206 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2020
NPI 1609806264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License Licensed in NC · 2017-01294
Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

201 QUEENS RD, Charlotte, NC 28204

Secondary Practice Locations 2

Location 19 Medical Park Rd, Suite 230Columbia, SC 29203-8003 · Phone (803) 434-7956 · Fax (803) 434-8606
Location 2330 Billingsley Rd Ste 101Charlotte, NC 28211-5020 · Phone (704) 316-2335

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 (PECOS)

Dr. Malaka Baharah Jackson M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
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 20

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

Urology
201 QUEENS RD
CHARLOTTE, NC 28204
Physician Assistant
201 QUEENS RD
CHARLOTTE, NC 28204
Specialist/Technologist (Athletic Trainer)
201 QUEENS RD
CHARLOTTE, NC 28204
Pediatrics
201 QUEENS RD
CHARLOTTE, NC 28204
Pediatrics (Pediatric Allergy/Immunology)
201 QUEENS RD
CHARLOTTE, NC 28204
Nurse Practitioner (Family)
201 QUEENS RD
CHARLOTTE, NC 28204
Pediatrics (Sports Medicine)
201 QUEENS RD
CHARLOTTE, NC 28204
Pediatrics (Pediatric Endocrinology)
201 QUEENS RD
CHARLOTTE, NC 28204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609806264, enumerated as an "individual" on July 03, 2006.

The provider is located at 201 QUEENS RD CHARLOTTE, NC 28204 and the phone number is (704) 316-5285.

Pediatrics with taxonomy code 2080P0205X and a focus in Pediatric Endocrinology.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.