J CARVEL JACKSON D.O.
NPI 1942262399
Internal Medicine - Addiction Medicine in Mesa, AZ
About J Carvel Jackson D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
J CARVEL JACKSON D.O. (NPI 1942262399) is an individual addiction medicine provider in Mesa, Arizona, licensed in Arizona (2543) and active in the NPI registry since April 2006. He has opted out of Medicare through November 30, 2027 and remains eligible to order and refer and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1988).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
J Carvel Jackson D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 30, 2025 through November 30, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 J Jackson's NPI number?
The NPI number for J Jackson is 1942262399. It was assigned to this individual provider in the NPPES registry on April 3, 2006.
Where is J Jackson located?
J Jackson practices at 303 N Centennial Way, Mesa, AZ 85201. The listed phone number is (480) 649-3111.
What is J Jackson's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.
Is J Jackson enrolled in Medicare?
No. J Jackson has opted out of Medicare through November 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does J Jackson accept?
Health plans from Blue Cross Blue Shield of Arizona list J 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 J Jackson was last updated on February 2, 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.
# J Carvel Jackson, D.O. · NPI 1942262399
Addiction Medicine physician in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since April 3, 2006.
## Identity
- **NPI:** 1942262399 (Entity type: Individual)
- **Enumerated:** April 3, 2006
- **Primary specialty:** Internal Medicine - Addiction Medicine · taxonomy 207RA0401X
- **State license:** 2543 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 303 N CENTENNIAL WAY, Mesa, AZ 85201-6733
- **Phone:** (480) 649-3111 · **Fax:** (480) 649-3113
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through November 30, 2027); services are provided under private contract
- **Medical school:** College Of Osteo Med Of The Pacific At Pomona, class of 1988
## Record status
- **NPPES last updated:** February 2, 2023
- **Other identifiers:** Medicaid 111328 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1942262399) · Data from the CMS NPPES public registry.