MIA LEIGH JACKSON MD
NPI 1861679870
Radiology - Diagnostic Radiology in St Petersburg, FL

Active since January 22, 2008PECOS EnrolledAccepts Medicare Assignment
93.56/100
CMS Quality Rating
2191 9TH AVE N STE 120, ST PETERSBURG, FL 33713(727) 954-6519(727) 954-6524 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2023, Oct 27, 2022, Oct 6, 2022 (3 updates tracked since 2022).

About Mia Leigh Jackson Md NPPES

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

MIA LEIGH JACKSON MD (NPI 1861679870) is an individual diagnostic radiology provider in St Petersburg, Florida, licensed in Florida (ME109939) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Emory University School Of Medicine (2005).

NPPES Registry Identity

NPI1861679870
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameMIA LEIGH JACKSONCredential: MD
Location Address2191 9TH AVE N STE 120St Petersburg, FL 33713-7147
Mailing AddressPo Box 748817Atlanta, GA 30374-8817 · (813) 286-0033 · Fax (813) 282-1806
Fax(727) 954-6524
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2005
Enumeration DateJanuary 22, 2008
Last NPPES UpdateJune 22, 20233 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
NPI 1861679870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in FL · ME109939 Licensed in GA · 002024
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2191 9TH AVE N STE 120, St Petersburg, FL 33713

Accepted 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

Mia Leigh 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 ID5496948788
PECOS Enrollment IDI20110923000285
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.

Areas of Expertise CMS Part B claims 21

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.

Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
3,090 services47 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
874 services874 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
864 services864 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
396 services386 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
192 services190 patients
Limited ultrasound scan of abdomen 76705
A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
176 services176 patients

Hospital Affiliations CMS Care Compare 3

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

South Florida Baptist Hospital

Acute Care Hospitals · Plant City, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100132
Location301 N Alexander StPlant City, FL 33563 · Hillsborough County
Emergency services Birthing friendly

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33713 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

93.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost59.94

Other Providers at the Same Location NPPES 10

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

Radiology (Diagnostic Radiology)
2191 9TH AVE N STE 120
ST PETERSBURG, FL 33713
Radiology (Diagnostic Radiology)
2191 9TH AVE N STE 120
ST PETERSBURG, FL 33713
Obstetrics & Gynecology (Gynecologic Oncology)
2191 9TH AVE N STE 120
ST PETERSBURG, FL 33713
Radiology (Diagnostic Radiology)
2191 9TH AVE N STE 120
ST PETERSBURG, FL 33713
Obstetrics & Gynecology (Gynecologic Oncology)
2191 9TH AVE N STE 120
ST PETERSBURG, FL 33713
Nurse Practitioner (Family)
2191 9TH AVE N STE 120
ST PETERSBURG, FL 33713
Nurse Practitioner
2191 9TH AVE N STE 120
ST PETERSBURG, FL 33713
Obstetrics & Gynecology (Gynecologic Oncology)
2191 9TH AVE N STE 120
ST PETERSBURG, FL 33713

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 Mia Jackson's NPI number?

The NPI number for Mia Jackson is 1861679870. It was assigned to this individual provider in the NPPES registry on January 22, 2008.

Where is Mia Jackson located?

Mia Jackson practices at 2191 9th Ave N Ste 120, St Petersburg, FL 33713. The listed phone number is (727) 954-6519.

What is Mia Jackson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mia Jackson enrolled in Medicare?

Yes. Mia Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mia Jackson accept?

Health plans from Molina Healthcare list Mia 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.

Is Mia Jackson affiliated with any hospitals?

According to CMS data, Mia Jackson is affiliated with St Josephs Hospital, South Florida Baptist Hospital and Adventhealth Tampa.

When was this NPI record last updated?

The NPPES record for Mia Jackson was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.