DR. THOMAS ROSS JACKSON M.D.
NPI 1891857413
Internal Medicine in Ft Gordon, GA

Active since December 14, 2006PECOS Enrolled
300 W HOSPITAL ROAD, INTERNAL MEDICINE CLINIC, FT GORDON, GA 30905(706) 787-2300(706) 787-8176 Get Directions Write a Review

NPPES record last updated: October 3, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Thomas Ross Jackson M.d. NPPES

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

DR. THOMAS ROSS JACKSON M.D. (NPI 1891857413) is an individual internal medicine provider in Ft Gordon, Georgia, licensed in South Carolina (SC15297) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891857413
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. THOMAS ROSS JACKSONCredential: M.D.
Location Address300 W HOSPITAL ROAD, INTERNAL MEDICINE CLINICFt Gordon, GA 30905-5650
Mailing Address300 W Hospital Road, Internal Medicine ClinicFt Gordon, GA 30905-5650 · (706) 787-2300 · Fax (706) 787-8176
Fax(706) 787-8176
Sole ProprietorNo
Enumeration DateDecember 14, 2006
Last NPPES UpdateOctober 3, 2013
NPI 1891857413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in SC · SC15297
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.
Also ListedPediatricsTaxonomy 208000000X · License SC15297 (SC)
300 W HOSPITAL ROAD, Ft Gordon, GA 30905

Other Identifiers 1

Medicare UPINVAD 000

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. Thomas Ross Jackson 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 30905 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 20

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

Family Medicine (Adult Medicine)
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER, ATTN CREDENTIALS
FORT GORDON, GA 30905
Military Health Care Provider
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER
FORT GORDON, GA 30905
Nurse Anesthetist, Certified Registered
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA 30905
Pharmacist (Pharmacotherapy)
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER
FORT GORDON, GA 30905
Allergy & Immunology
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA 30905
Military Hospital
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER CREDENTIALS
FORT GORDON, GA 30905
Registered Nurse (Case Management)
300 W HOSPITAL ROAD
FT. GORDON, GA 30905
Pathology (Anatomic Pathology & Clinical Pathology)
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER
FORT GORDON, GA 30905

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 Thomas Jackson's NPI number?

The NPI number for Thomas Jackson is 1891857413. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Thomas Jackson located?

Thomas Jackson practices at 300 W Hospital Road Internal Medicine Clinic, Ft Gordon, GA 30905. The listed phone number is (706) 787-2300.

What is Thomas Jackson's specialty?

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

Is Thomas Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Thomas Jackson was last updated on October 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.