1. Home
  2. Directory
  3. California
  4. Richmond
  5. Internal Medicine
  6. NPI Profile

GEORGE M JACKSON MD
NPI 1770517666
Internal Medicine in Richmond, CA

Active since July 10, 2006PECOS Enrolled
1030 NEVIN AVE, RICHMOND, CA 94801(510) 981-3209 Get Directions Write a Review

NPPES record last updated: March 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About George M Jackson Md NPPES

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

GEORGE M JACKSON MD (NPI 1770517666) is an individual internal medicine provider in Richmond, California, licensed in California (G39327) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770517666
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGEORGE M JACKSONCredential: MD
Location Address1030 NEVIN AVERichmond, CA 94801-3122
Mailing Address2344 6th StBerkeley, CA 94710-2412 · (925) 254-7869
Phone(510) 981-3209
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateMarch 11, 2014
✔ NPI 1770517666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G39327
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License G39327 (CA)
1030 NEVIN AVE, Richmond, CA 94801
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINF57719

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

George M Jackson Md 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 94801 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 4

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

LIFELONG MEDICAL CARE
Social Worker (Clinical)
1030 NEVIN AVE
RICHMOND, CA 94801
Contra Costa County (510) 215-5001
MS. BARBARA ANN WILLIAMSON NMW 956, NP6576, RN3
Advanced Practice Midwife
1030 NEVIN AVE
RICHMOND, CA 94801
Contra Costa County (510) 215-5001
TESHINA NICOLE WILSON D.O.
Family Medicine
1030 NEVIN AVE
RICHMOND, CA 94801
Contra Costa County (510) 215-5001
CHRISTINE TARRANT LCSW
Social Worker (Clinical)
1030 NEVIN AVE
RICHMOND, CA 94801
Contra Costa County (510) 215-5001

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 George Jackson's NPI number?

The NPI number for George Jackson is 1770517666. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is George Jackson located?

George Jackson practices at 1030 Nevin Ave, Richmond, CA 94801. The listed phone number is (510) 981-3209.

What is George Jackson's specialty?

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

Is George Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for George Jackson was last updated on March 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.