MICHAEL L JACKSON DO
NPI 1790917318
Emergency Medicine in Tallahassee, FL

Q: What is Michael Jackson's NPI number?

The NPI number for Michael Jackson is 1790917318. It was assigned to this individual provider in the NPPES registry on August 15, 2009.

Q: What is Michael Jackson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Jackson was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 15, 2009PECOS EnrolledAccepts Medicare Assignment

97.12/100

CMS Quality Rating

2626 CAPITAL MEDICAL BLVD, EMERGENCY MEDICINE, TALLAHASSEE, FL 32308(580) 325-5000 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 10, 2023, Dec 7, 2022, May 11, 2016 (3 updates tracked since 2016).

On this page

About Michael L Jackson Do NPPES

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

MICHAEL L JACKSON DO (NPI 1790917318) is an individual emergency medicine provider in Tallahassee, Florida, licensed in Florida (OS21831) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Hca Florida West Hospital, and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1790917318

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameMICHAEL L JACKSONCredential: DO

Location Address2626 CAPITAL MEDICAL BLVD, EMERGENCY MEDICINETallahassee, FL 32308-4402

Mailing Address2626 Capital Medical BlvdTallahassee, FL 32308-4402 · (850) 325-5000

Phone(580) 325-5000

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateAugust 15, 2009

Last NPPES UpdateApril 22, 20253 updates tracked since enumeration

NPPES CertifiedApril 14, 2025

✔ NPI 1790917318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in FL · OS21831✔ Licensed in VA · 0102202687✔ Licensed in TN · 4229

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2626 CAPITAL MEDICAL BLVD, Tallahassee, FL 32308

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Secondary Practice Location 1

Location 13601 The Vanderbilt ClinicNashville, TN 37232-2197 · Phone (615) 322-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael L Jackson Do 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 ID3678864618

PECOS Enrollment IDI20161102002452, I20210720001775, I20250422001507, I20251125004389

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.

Medicare Billing Reassignments

Medicare enrollment records show Michael Jackson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Paragon Emergency Services LLC

226 mi

Emergency Medicine

200 AVENUE F NE
Winter Haven, FL 33881

Reassigned Medicare billing, Florida enrollment
1,065 clinicians in this Medicare group

NPI 1912101650 (863) 293-1121

Emergency Coverage, LLC

383 mi

Family Medicine

435 2ND ST
Newport, TN 37821

Reassigned Medicare billing, North Carolina, Tennessee and Virginia enrollments
557 clinicians in this Medicare group

NPI 1427005008 (423) 625-2200

Acs Primary Care Physicians - Southeast PC

390 mi

Emergency Medicine

809 82ND PKWY
Myrtle Beach, SC 29572

Reassigned Medicare billing, Georgia and South Carolina enrollments
586 clinicians in this Medicare group

NPI 1861430555 (843) 692-1000

Southeastern Emergency Physicians LLC

563 mi

Emergency Medicine

989 MEDICAL PARK DR
Maysville, KY 41056

Reassigned Medicare billing, Tennessee enrollment
1,071 clinicians in this Medicare group

NPI 1356379382 (606) 759-5311

Emergency Physicians Of Tidewater

638 mi

Emergency Medicine

6379 CENTER DR
Norfolk, VA 23502

Reassigned Medicare billing, Virginia enrollment
165 clinicians in this Medicare group

NPI 1033136841 (757) 467-4200

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

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

160 services158 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

147 services147 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

89 services87 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Hca Florida West Hospital

Acute Care Hospitals · Pensacola, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100231

Location8383 N Davis HwyPensacola, FL 32514 · Escambia County

Emergency services Birthing friendly

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340002

Location509 Biltmore AveAsheville, NC 28801 · Buncombe County

Emergency services Birthing friendly

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420085

Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County

Emergency services Birthing friendly

Tennova Healthcare-Clarksville

Acute Care Hospitals · Clarksville, TN

1/5 CMS rating

OwnershipProprietary

CMS Certification Number440035

Location651 Dunlop LaneClarksville, TN 37040 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32308 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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.

97.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.64

Promoting Interoperability

100

Improvement Activities

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.

NANTARA DURRANI MBBS

Hospitalist