DR. TONI MARIE JACKSON DO
NPI 1689315897
Internal Medicine in Snellville, GA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Toni Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Monroe, GA 30655
- Reassigned Medicare billing, Georgia enrollment
- 777 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Eastside Medical Center
Acute Care Hospitals · Snellville, GAPhysician 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.
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.
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.
Which organization bills Medicare for Toni Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Toni Jackson reassigns Medicare benefits to Hospital Physician Services - Southeast Professional Corporation (Monroe, GA). The 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 Toni Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 5 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.
# Dr. Toni Marie Jackson, DO · NPI 1689315897
Internal Medicine physician in Snellville, Georgia. Individual provider, active in the CMS NPPES registry since April 5, 2022.
## Identity
- **NPI:** 1689315897 (Entity type: Individual)
- **Enumerated:** April 5, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 104354 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1700 MEDICAL WAY, Snellville, GA 30078-2195
- **Phone:** (770) 979-0200
## 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:** Hospital Physician Services - Southeast Professional Corporation (NPI 1760410385, Monroe, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1689315897) · Data from the CMS NPPES public registry.