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RICHARD DEWITT JACKSON II M.D.
NPI 1821380833
Psychiatry & Neurology - Psychiatry in Winston Salem, NC

Active since May 09, 2011PECOS Enrolled
140 KIMEL PARK DR STE 101, WINSTON SALEM, NC 27103(336) 718-7280(336) 718-7290 Get Directions Write a Review

NPPES record last updated: October 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2020, Mar 3, 2020, Sep 1, 2016 (3 updates tracked since 2016).

About Richard Dewitt Jackson Ii M.d. NPPES

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

RICHARD DEWITT JACKSON II M.D. (NPI 1821380833) is an individual psychiatry provider in Winston Salem, North Carolina, licensed in North Carolina (2012-01968) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1821380833
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameRICHARD DEWITT JACKSON IICredential: M.D.
Location Address140 KIMEL PARK DR STE 101Winston Salem, NC 27103-6185
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 277-1800 · Fax (336) 277-6981
Phone(336) 718-7280
Fax(336) 718-7290
Sole ProprietorNo
Enumeration DateMay 9, 2011
Last NPPES UpdateOctober 25, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2020
✔ NPI 1821380833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NC · 2012-01968
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
140 KIMEL PARK DR STE 101, Winston Salem, NC 27103
Open in Google Maps ↗

Secondary Practice Location 1

Location 13333 Silas Creek PkwyWinston Salem, NC 27103-3013 · Phone (336) 277-1800 · Fax (336) 277-6981

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.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)

Richard Dewitt Jackson Ii M.d. 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 27103 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 6

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

MRS. BRITTANY NICOLE GRAALMAN LCSWA
Social Worker (Clinical)
140 KIMEL PARK DR STE 101
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7280
XAVIER QUAMAINE LEE FULLERTON LPC-A, CRC
Counselor (Mental Health)
140 KIMEL PARK DR STE 101
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7280
KIMBERLY SIMONNE NELSON LCMHC
Counselor (Mental Health)
140 KIMEL PARK DR STE 101
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7280
NOVANT HEALTH MEDICAL GROUP, LLC
Psychiatry & Neurology (Psychiatry)
140 KIMEL PARK DR STE 101
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7280
ESTHER RUTH SWAN DO
Psychiatry & Neurology (Psychiatry)
140 KIMEL PARK DR STE 101
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7280
VALERIE DENISE WINKLER LCMHC, LCMHC-S, LPC
Counselor (Mental Health)
140 KIMEL PARK DR STE 101
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7280

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 Richard Jackson's NPI number?

The NPI number for Richard Jackson is 1821380833. It was assigned to this individual provider in the NPPES registry on May 9, 2011.

Where is Richard Jackson located?

Richard Jackson practices at 140 Kimel Park Dr Ste 101, Winston Salem, NC 27103. The listed phone number is (336) 718-7280.

What is Richard Jackson's specialty?

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

Is Richard Jackson enrolled in Medicare?

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

What insurance does Richard Jackson accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Richard 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 Richard Jackson was last updated on October 25, 2020. 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.