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DEVON LAMAR JACKSON M.D.
NPI 1699160275
Pathology - Forensic Pathology in Detroit, MI

Active since April 01, 2015PECOS Enrolled
1300 E WARREN AVE, DETROIT, MI 48207(313) 833-2504 Get Directions Write a Review

NPPES record last updated: October 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2025, Jul 11, 2023, Jul 5, 2023 and 3 more (6 updates tracked since 2016).

About Devon Lamar Jackson M.d. NPPES

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

DEVON LAMAR JACKSON M.D. (NPI 1699160275) is an individual forensic pathology provider in Detroit, Michigan, licensed in Michigan (4301513779) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699160275
Entity TypeIndividualMale
Primary Taxonomy207ZF0201X
Provider Legal NameDEVON LAMAR JACKSONCredential: M.D.
Location Address1300 E WARREN AVEDetroit, MI 48207-1051
Mailing Address1300 E Warren AveDetroit, MI 48207-1051 · (313) 833-2504
Phone(313) 833-2504
Sole ProprietorNo
Enumeration DateApril 1, 2015
Last NPPES UpdateOctober 11, 20256 updates tracked since enumeration
NPPES CertifiedOctober 11, 2025
✔ NPI 1699160275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · Forensic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZF0201X
License✔ Licensed in MI · 4301513779
Definition
A forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials.
Also ListedPathology · NeuropathologyTaxonomy 207ZN0500X · License 01089337A (IN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1300 E WARREN AVE, Detroit, MI 48207
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Devon Lamar 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 48207 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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

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

VASUDEVAN MAHALINGAM
Pathology (Anatomic Pathology & Clinical Pathology)
1300 E WARREN AVE
DETROIT, MI 48207
Wayne County (313) 833-2563

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 Devon Jackson's NPI number?

The NPI number for Devon Jackson is 1699160275. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Devon Jackson located?

Devon Jackson practices at 1300 E Warren Ave, Detroit, MI 48207. The listed phone number is (313) 833-2504.

What is Devon Jackson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Forensic Pathology, with taxonomy code 207ZF0201X.

Is Devon Jackson enrolled in Medicare?

Yes. Devon Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Devon Jackson was last updated on October 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.