Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DARA IMANI JACKSON MD
NPI 1912527987
Family Medicine in Windsor Mill, MD

Q: What is Dara Jackson's NPI number?

The NPI number for Dara Jackson is 1912527987. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Q: What is Dara Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Dara Jackson was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.

Active since April 20, 2020PECOS Enrolled

6901 SECURITY BLVD STE 200, WINDSOR MILL, MD 21244(410) 837-2050 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2026, Sep 20, 2024, Apr 20, 2020 (3 updates tracked since 2020).

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About Dr. Dara Imani Jackson Md NPPES

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

DR. DARA IMANI JACKSON MD (NPI 1912527987) is an individual family medicine provider in Windsor Mill, Maryland, licensed in Maryland (D0098790) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912527987

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DARA IMANI JACKSONCredential: MD

Location Address6901 SECURITY BLVD STE 200Windsor Mill, MD 21244-2412

Mailing Address1111 N Charles StBaltimore, MD 21201-5505 · (410) 837-2050

Phone(410) 837-2050

Sole ProprietorNo

Enumeration DateApril 20, 2020

Last NPPES UpdateJuly 10, 20263 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1912527987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MD · D0098790✔ Licensed in DC · 210012225

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6901 SECURITY BLVD STE 200, Windsor Mill, MD 21244

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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. Dara Imani 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 21244 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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 19

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

MRS. KRISTEN L BROOM RN, FNP

Nurse Practitioner (Family)

6901 SECURITY BLVD STE 200
WINDSOR MILL, MD 21244

Baltimore County (410) 837-2050

DR. AMANDA WIGGINS

Nurse Practitioner (Adult Health)

6901 SECURITY BLVD STE 200
BALTIMORE, MD 21244

Baltimore County (410) 837-2050

AALOK VILAS MALANKAR D.O.

Family Medicine

6901 SECURITY BLVD STE 200
WINDSOR MILL, MD 21244

Baltimore County (410) 837-2050

DR. VANESHA VASIAN GOFFE DNP, FNP-BC

Nurse Practitioner (Family)

6901 SECURITY BLVD STE 200
WINDSOR MILL, MD 21244

Baltimore County (410) 837-2050

COLLEEN ROACH CRNP-F

Nurse Practitioner (Family)

6901 SECURITY BLVD STE 200
WINDSOR MILL, MD 21244

Baltimore County (410) 837-2050

MRS. CHIARA ELIZABETH OLIVI FNP-C

Nurse Practitioner (Family)

6901 SECURITY BLVD STE 200
WINDSOR MILL, MD 21244

Baltimore County (410) 837-2050

MR. DWAIN DONTE HOWARD DRPH, MHS, LCPC

Counselor (Mental Health)

6901 SECURITY BLVD STE 200
WINDSOR MILL, MD 21244

Baltimore County (410) 837-2050

KARUNA AJIT WARRIER RDH

Dental Hygienist

6901 SECURITY BLVD STE 200
BALTIMORE, MD 21244

Baltimore County (410) 837-2050

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 Dara Jackson's NPI number?

The NPI number for Dara Jackson is 1912527987. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Where is Dara Jackson located?

Dara Jackson practices at 6901 Security Blvd Ste 200, Windsor Mill, MD 21244. The listed phone number is (410) 837-2050.

What is Dara Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dara Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dara Jackson was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.