DR BRYCE V JACKSON
NPI 1790832210
Specialist in Panama City, FL

Active since January 05, 2007
1937 HARRISON AVE, PANAMA CITY, FL 32405(850) 784-6877(850) 785-5346 Get Directions Write a Review

NPPES record last updated: January 15, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr Bryce V Jackson NPPES

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

DR BRYCE V JACKSON (NPI 1790832210) is a healthcare organization registered as a specialist in Panama City, Florida and active in the NPI registry since January 2007. The organization lists Bryce Vincent Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1790832210
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTH FLORIDA OBSTETRIC & GYN CENTER PA
Location Address1937 HARRISON AVEPanama City, FL 32405-4543
Mailing Address1937 Harrison AvePanama City, FL 32405-4543 · (850) 784-6877 · Fax (850) 785-5346
Fax(850) 785-5346
Organization SubpartNo
Authorized OfficialBryce Vincent JacksonPresident · (850) 784-6877
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJanuary 15, 2014
✔ NPI 1790832210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME48532
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1937 HARRISON AVE, Panama City, FL 32405

Other Names 1

Other NameDr Bryce V Jackson

Other Identifiers 4

Other03638FL · Blue Cross Blue Shield
Medicaid043532500FL
Medicare ID-Type Unspecified03638FL · Medicare Provider Number
Medicare UPIND50772FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr Bryce V Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20100928001144Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr Bryce V Jackson, which bills Medicare for the services this clinician delivers.

Clinician (1)

Obstetrics/Gynecology
NPI 1467423632
1937 HARRISON AVE
Panama City, FL 32405
(850) 784-6877
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 North Florida Obstetric & Gyn Center PA's NPI number?

The NPI number for North Florida Obstetric & Gyn Center PA is 1790832210. It was assigned to this organization in the NPPES registry on January 5, 2007. The provider is also known as Dr Bryce V Jackson.

Where is North Florida Obstetric & Gyn Center PA located?

North Florida Obstetric & Gyn Center PA is located at 1937 Harrison Ave, Panama City, FL 32405. The listed phone number is (850) 784-6877.

What is North Florida Obstetric & Gyn Center PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is North Florida Obstetric & Gyn Center PA enrolled in Medicare?

Yes. North Florida Obstetric & Gyn Center PA is registered in the Medicare PECOS enrollment system.

When is North Florida Obstetric & Gyn Center PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through North Florida Obstetric & Gyn Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to North Florida Obstetric & Gyn Center PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does North Florida Obstetric & Gyn Center PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list North Florida Obstetric & Gyn Center PA 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 North Florida Obstetric & Gyn Center PA was last updated on January 15, 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.