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DR. BYRON ANDRA JACKSON MD
NPI 1821167263
Internal Medicine in Shreveport, LA

Active since November 07, 2006PECOS Enrolled
653 W 70TH ST, SHREVEPORT, LA 71106(318) 636-8389(318) 636-8389 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Byron Andra Jackson Md NPPES

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

DR. BYRON ANDRA JACKSON MD (NPI 1821167263) is an individual internal medicine provider in Shreveport, Louisiana, licensed in Louisiana (08028R) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1821167263
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BYRON ANDRA JACKSONCredential: MD
Location Address653 W 70TH STShreveport, LA 71106-2949
Mailing AddressPo Box 740012Atlanta, GA 30374-0012 · (773) 352-1515 · Fax (312) 929-0373
Phone(318) 636-8389
Fax(318) 636-8389
Sole ProprietorYes
Enumeration DateNovember 7, 2006
Last NPPES UpdateMay 14, 2024
NPPES CertifiedMay 14, 2024
✔ NPI 1821167263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 08028R
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.
653 W 70TH ST, Shreveport, LA 71106
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Secondary Practice Location 1

Location 1745 Olive St, Suite 203Shreveport, LA 71104-2246 · Phone (318) 221-2054

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Byron Andra 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 71106 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 6

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

MS. ALESHA N KINGSBY
Nurse Practitioner (Family)
653 W 70TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 636-8389
ELISCHA BROWN FNP
Nurse Practitioner (Family)
653 W 70TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 636-8389
DR. PATRICIO DANIEL LUCIO MD
Internal Medicine
653 W 70TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 636-8389
KECHIA BREEDLOVE
Counselor (Professional)
653 W 70TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 636-8389
JOSHUA PHILLIP WHITE FNP-C
Nurse Practitioner (Family)
653 W 70TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 636-8389
DR. TRICIA QUINN TEBBOTH M.D.
Family Medicine
653 W 70TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 636-8389

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 Byron Jackson's NPI number?

The NPI number for Byron Jackson is 1821167263. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Byron Jackson located?

Byron Jackson practices at 653 W 70th St, Shreveport, LA 71106. The listed phone number is (318) 636-8389.

What is Byron Jackson's specialty?

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

Is Byron Jackson enrolled in Medicare?

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

What insurance does Byron Jackson accept?

Health plans from Blue Cross and Blue Shield of Texas and HMO Louisiana list Byron 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 Byron Jackson was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.