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EDWIN JACKSON M.D.
NPI 1740294883
Psychiatry & Neurology - Psychiatry in St Petersburg, FL

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
4010 CENTRAL AVE, ST PETERSBURG, FL 33711(727) 327-7656(727) 388-1192 Get Directions Write a Review

NPPES record last updated: October 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edwin Jackson M.d. NPPES

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

EDWIN JACKSON M.D. (NPI 1740294883) is an individual psychiatry provider in St Petersburg, Florida, licensed in Florida (ME 87406) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1999).

NPPES Registry Identity

NPI1740294883
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameEDWIN JACKSONCredential: M.D.
Location Address4010 CENTRAL AVESt Petersburg, FL 33711-1239
Mailing Address4024 Central AveSt Petersburg, FL 33711-1239 · (727) 327-7656 · Fax (727) 388-1192
Phone(727) 327-7656
Fax(727) 388-1192
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1999
Enumeration DateJuly 27, 2006
Last NPPES UpdateOctober 10, 2011
✔ NPI 1740294883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in FL · ME 87406
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License ME 87406 (FL)
4010 CENTRAL AVE, St Petersburg, FL 33711
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Other Identifiers 1

OtherF01714FL · Florida Health Partners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed 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

Edwin Jackson M.d. 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 ID6103879341
PECOS Enrollment IDI20050228000541
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

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.

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.
95 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33711 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

ERIN TERRY LMFT
Marriage & Family Therapist
4010 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
WENDY OLIVERAS
Case Manager/Care Coordinator
4010 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
SUNCOAST CENTER INC
Case Management
4010 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 327-7656
KELLY BRADY
Counselor (Mental Health)
4010 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 327-7656
JOHN KLOMAN II
Social Worker
4010 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
CANDIS WEBB
Counselor (Mental Health)
4010 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
MS. LOUISE KAY AURIEMMA LMHC
Counselor (Professional)
4010 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
KIMBERLY SUE DOUGHERTY
Social Worker (Clinical)
4010 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656

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 Edwin Jackson's NPI number?

The NPI number for Edwin Jackson is 1740294883. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Edwin Jackson located?

Edwin Jackson practices at 4010 Central Ave, St Petersburg, FL 33711. The listed phone number is (727) 327-7656.

What is Edwin Jackson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Edwin Jackson enrolled in Medicare?

Yes. Edwin 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 Edwin Jackson accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Edwin 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.

When was this NPI record last updated?

The NPPES record for Edwin Jackson was last updated on October 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.