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AMIRAH DIANE JACKSON DMD
NPI 1821539594
Dentist - General Practice in Rocky Mount, NC

Active since March 15, 2017PECOS Enrolled
300 N GRACE ST, ROCKY MOUNT, NC 27804(252) 210-9856(888) 736-9806 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 23, 2025, Jun 17, 2025, Nov 13, 2019 and 2 more (5 updates tracked since 2017).

About Amirah Diane Jackson Dmd NPPES

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

AMIRAH DIANE JACKSON DMD (NPI 1821539594) is an individual general practice provider in Rocky Mount, North Carolina, licensed in North Carolina (14570) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821539594
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameAMIRAH DIANE JACKSONCredential: DMD
Location Address300 N GRACE STRocky Mount, NC 27804-5345
Mailing Address300 N Grace StRocky Mount, NC 27804-5345 · (252) 210-9856 · Fax (888) 736-9806
Phone(252) 210-9856
Fax(888) 736-9806
Sole ProprietorNo
Enumeration DateMarch 15, 2017
Last NPPES UpdateFebruary 13, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
✔ NPI 1821539594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 14570
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
300 N GRACE ST, Rocky Mount, NC 27804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amirah Diane Jackson Dmd 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.

Medicare Billing Reassignment

Medicare enrollment records show Amirah Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

No Aids Task Force
821 mi
Federally Qualified Health Center (FQHC)
1631 ELYSIAN FIELDS AVE
New Orleans, LA 70117
  • Reassigned Medicare billing, Louisiana enrollment
  • 69 clinicians in this Medicare group
NPI 1215417563 (504) 821-2601

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27804 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
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 16

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

NAPOLEON BRASWELL
Pharmacy Technician
300 N GRACE ST
ROCKY MOUNT, NC 27804
Nash County (252) 316-8220
EMILY MAYE KNIGHT PA-C
Physician Assistant
300 N GRACE ST
ROCKY MOUNT, NC 27804
Nash County (252) 210-9856
AMANPREET SINGH DHALIWAL PA-C
Physician Assistant
300 N GRACE ST
ROCKY MOUNT, NC 27804
Nash County (252) 210-9856
MRS. GLORIA FENNER DAVIS LPC
Counselor (Professional)
300 N GRACE ST, SUITE 228
ROCKY MOUNT, NC 27804
Nash County (252) 908-4120
NANA FOSUWA ARKHURST-ARTHUR DNP, FNP-BC
Nurse Practitioner (Family)
300 N GRACE ST
ROCKY MOUNT, NC 27804
Nash County (252) 210-9856
DR. RITA-KAY MABINE DAVIS M.D.
Psychiatry & Neurology (Psychiatry)
300 N GRACE ST
ROCKY MOUNT, NC 27804
Nash County (252) 210-9856
SHAWANDA NICOLE STRICKLAND
Pharmacy Technician
300 N GRACE ST
ROCKY MOUNT, NC 27804
Nash County (252) 316-8220
JEVITA DENISE TERRY FNP-BC
Nurse Practitioner (Family)
300 N GRACE ST
ROCKY MOUNT, NC 27804
Nash County (252) 210-9856

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 Amirah Jackson's NPI number?

The NPI number for Amirah Jackson is 1821539594. It was assigned to this individual provider in the NPPES registry on March 15, 2017.

Where is Amirah Jackson located?

Amirah Jackson practices at 300 N Grace St, Rocky Mount, NC 27804. The listed phone number is (252) 210-9856.

What is Amirah Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Amirah Jackson enrolled in Medicare?

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

Which organization bills Medicare for Amirah Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amirah Jackson reassigns Medicare benefits to No Aids Task Force (New Orleans, LA). The 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 Amirah Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amirah Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 16 other insurers list Amirah 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 Amirah Jackson was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.