DR. TONI MARIE JACKSON DO
NPI 1689315897
Internal Medicine in Snellville, GA

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
1700 MEDICAL WAY, SNELLVILLE, GA 30078(770) 979-0200 Get Directions Write a Review

NPPES record last updated: May 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2026, Jan 5, 2026, Apr 5, 2022 (3 updates tracked since 2022).

About Dr. Toni Marie Jackson Do NPPES

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

DR. TONI MARIE JACKSON DO (NPI 1689315897) is an individual internal medicine provider in Snellville, Georgia, licensed in Georgia (104354) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Piedmont Eastside Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1689315897
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. TONI MARIE JACKSONCredential: DO
Location Address1700 MEDICAL WAYSnellville, GA 30078-2195
Mailing Address1643 Nw 136th AveSunrise, FL 33323-3091 · (800) 424-3672
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 5, 2022
Last NPPES UpdateMay 10, 20263 updates tracked since enumeration
NPPES CertifiedMay 10, 2026
NPI 1689315897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 104354
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1700 MEDICAL WAY, Snellville, GA 30078

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. Toni Marie Jackson Do 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 ID4688155252
PECOS Enrollment IDI20260221000381
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30078 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Nurse Practitioner
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Nurse Practitioner
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Nurse Practitioner
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Anesthesiologist Assistant
1700 MEDICAL WAY, ANESTHESIA DEPT
SNELLVILLE, GA 30078
Physician Assistant (Medical)
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Anesthesiologist Assistant
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Emergency Medicine
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Radiology (Diagnostic Radiology)
1700 MEDICAL WAY
SNELLVILLE, GA 30078

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 Toni Jackson's NPI number?

The NPI number for Toni Jackson is 1689315897. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Toni Jackson located?

Toni Jackson practices at 1700 Medical Way, Snellville, GA 30078. The listed phone number is (770) 979-0200.

What is Toni Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Toni Jackson enrolled in Medicare?

Yes. Toni 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.

Is Toni Jackson affiliated with any hospitals?

According to CMS data, Toni Jackson is affiliated with Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Toni Jackson was last updated on May 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.