MRS. TINA LOUISE JACKSON MD
NPI 1801015821
Psychiatry & Neurology - Psychiatry in Wartburg, TN

Q: What is Tina Jackson's NPI number?

The NPI number for Tina Jackson is 1801015821. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Q: What is Tina Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tina Jackson was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 25, 2007PECOS EnrolledAccepts Medicare Assignment

224 OLD MILL RD, WARTBURG, TN 37887(423) 346-6221(423) 346-3447 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 14, 2021, Aug 13, 2020, Jan 5, 2017 (3 updates tracked since 2017).

On this page

About Mrs. Tina Louise Jackson Md NPPES

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

MRS. TINA LOUISE JACKSON MD (NPI 1801015821) is an individual psychiatry provider in Wartburg, Tennessee, licensed in Tennessee (61207) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of East Tennessee State University Quillen College Of Medicine (2016).

NPPES Registry Identity

NPI1801015821

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameMRS. TINA LOUISE JACKSONCredential: MD

Location Address224 OLD MILL RDWartburg, TN 37887-4163

Mailing Address240 W Tyrone Rd Rm 714Oak Ridge, TN 37830-6517 · (865) 482-1076

Phone(423) 346-6221

Fax(423) 346-3447

Sole ProprietorNo

Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2016

Enumeration DateApril 25, 2007

Last NPPES UpdateMay 14, 20213 updates tracked since enumeration

NPPES CertifiedMay 14, 2021

✔ NPI 1801015821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in TN · 61207

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.

224 OLD MILL RD, Wartburg, TN 37887

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health 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

Mrs. Tina Louise Jackson 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 ID3476648064

PECOS Enrollment IDI20190531001188, I20200824001946

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 37887 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

$160.89 typical visit price

range $52.64 – $160.89

Typical copayment $40.22 (range $13.16 – $40.22)

Most-billed visit code 99205

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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 19

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

CHRISTINA LONG N.P.

Nurse Practitioner