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DR. EDWARD ROBERT JACKSON II MD
NPI 1710129408
Orthopaedic Surgery - Sports Medicine in Tallahassee, FL

Active since March 27, 2009PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
3334 CAPITAL MEDICAL BLVD #400, TALLAHASSEE, FL 32308(850) 877-8174(850) 877-5636 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Edward Robert Jackson Ii Md NPPES

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

DR. EDWARD ROBERT JACKSON II MD (NPI 1710129408) is an individual sports medicine provider in Tallahassee, Florida, licensed in Georgia (63075) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of University Of South Carolina School Of Medicine (2004).

NPPES Registry Identity

NPI1710129408
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. EDWARD ROBERT JACKSON IICredential: MD
Location Address3334 CAPITAL MEDICAL BLVD #400Tallahassee, FL 32308-4470
Mailing Address3334 Capital Medical Blvd #400Tallahassee, FL 32308-4470 · (850) 877-8174 · Fax (850) 877-5636
Phone(850) 877-8174
Fax(850) 877-5636
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2004
Enumeration DateMarch 27, 2009
Last NPPES UpdateSeptember 13, 2022
NPPES CertifiedSeptember 13, 2022
✔ NPI 1710129408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in GA · 63075
Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License BP10016960 (TX), ME107624 (FL), 063075 (GA)

Other Identifiers 5

Other003214650FL · United Health Care
Other250872FL · Universal Healthcare
Medicaid002458400FL
OtherP00903177GA · Rr Medicare
Medicaid503370302BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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. Edward Robert Jackson Ii Md 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 ID8820112402
PECOS Enrollment IDI20101207000538
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
25 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services18 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

Other Providers at the Same Location NPPES 3

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

HANK LAWRENCE HUTCHINSON M.D.
Orthopaedic Surgery
3334 CAPITAL MEDICAL BLVD #400
TALLAHASSEE, FL 32308
Leon County (850) 877-8174
KIMBERLY R HAGEN ARNP
Nurse Practitioner
3334 CAPITAL MEDICAL BLVD #400
TALLAHASSEE, FL 32308
Leon County (850) 877-8174
MARK GIBSON CPO
Prosthetist
3334 CAPITAL MEDICAL BLVD #400
TALLAHASSEE, FL 32308
Leon County (850) 877-8174

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 Edward Jackson's NPI number?

The NPI number for Edward Jackson is 1710129408. It was assigned to this individual provider in the NPPES registry on March 27, 2009.

Where is Edward Jackson located?

Edward Jackson practices at 3334 Capital Medical Blvd #400, Tallahassee, FL 32308. The listed phone number is (850) 877-8174.

What is Edward Jackson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Edward Jackson enrolled in Medicare?

Yes. Edward 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.

What insurance does Edward Jackson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Edward Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Edward Jackson affiliated with any hospitals?

According to CMS data, Edward Jackson is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Edward Jackson was last updated on September 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.