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

Q: What is Malaka Jackson's NPI number?

The NPI number for Malaka Jackson is 1609806264. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is Malaka Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Q: When was this NPI record last updated?

The NPPES record for Malaka Jackson was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

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: November 01, 2026.

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

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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

Phone(704) 316-5285

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

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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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Malaka Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wake Forest University Health Sciences

55 mi

Multi-Specialty

1303 GREENSBORO STREET EXT
Lexington, NC 27295

Reassigned Medicare billing, North Carolina enrollment
3,003 clinicians in this Medicare group

NPI 1639454499 (336) 716-2255

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 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.

NOVANT HEALTH MEDICAL GROUP, LLC

Internal Medicine (Pulmonary Disease)