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CHARLES LEE JACKSON MD
NPI 1942263793
Urology in Chattanooga, TN

Active since April 11, 2006PECOS Enrolled
725 GLENWOOD DR, STE E790, CHATTANOOGA, TN 37404(423) 495-3068(423) 495-3022 Get Directions Write a Review

NPPES record last updated: June 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Lee Jackson Md NPPES

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

CHARLES LEE JACKSON MD (NPI 1942263793) is an individual urology provider in Chattanooga, Tennessee, licensed in Tennessee (41776) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942263793
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameCHARLES LEE JACKSONCredential: MD
Location Address725 GLENWOOD DR, STE E790Chattanooga, TN 37404-1178
Mailing Address725 Glenwood Dr, Ste E790Chattanooga, TN 37404-1178 · (423) 495-3068 · Fax (423) 495-3022
Phone(423) 495-3068
Fax(423) 495-3022
Sole ProprietorNo
Enumeration DateApril 11, 2006
Last NPPES UpdateJune 4, 2010
✔ NPI 1942263793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in TN · 41776✔ Licensed in FL · ME0053658
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
725 GLENWOOD DR, Chattanooga, TN 37404
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Other Identifiers 5

Medicaid1507399TN
Medicare PIN3001827TN
Medicaid044337900FL
Medicare UPIND51882FL
Medicare PIN07224ZFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Lee 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 37404 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier20 claims40 services$7.97 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
1 supplier20 claims400 services$3.03 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
1 supplier11 claims11 services$6.05 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier12 claims230 services$4.87 avg. paid by Medicare
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each A4393
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$8.00 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier18 claims900 services$0.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. JACK B MCCALLIE MD
Internal Medicine
725 GLENWOOD DR, SUITE E480
CHATTANOOGA, TN 37404
Hamilton County (423) 756-5779
DR. FRED MARSHALL GREGG III M.D.
Ophthalmology
725 GLENWOOD DR, SUITE 892
CHATTANOOGA, TN 37404
Hamilton County (423) 624-3937
SAMANTHA GAGLIANO FNP
Nurse Practitioner (Family)
725 GLENWOOD DR
CHATTANOOGA, TN 37404
Hamilton County (423) 503-7786
DR. SAMUEL M CURRIN M.D.
Urology
725 GLENWOOD DR, STE E780
CHATTANOOGA, TN 37404
Hamilton County (423) 697-0072
PAUL CORNEA MD
Internal Medicine (Infectious Disease)
725 GLENWOOD DR, SUITE E-486
CHATTANOOGA, TN 37404
Hamilton County (423) 495-2650
DR. MARY E CARTER MD
Pediatrics
725 GLENWOOD DR, SUITE E-882
CHATTANOOGA, TN 37404
Hamilton County (423) 698-2229
DR. GLENN A NEWMAN MD
Internal Medicine
725 GLENWOOD DR, SUITE 480
CHATTANOOGA, TN 37404
Hamilton County (423) 756-5779
DR. MAX V BRYANT MD
Pediatrics
725 GLENWOOD DR, SUITE 882
CHATTANOOGA, TN 37404
Hamilton County (423) 798-2229

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 Charles Jackson's NPI number?

The NPI number for Charles Jackson is 1942263793. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Charles Jackson located?

Charles Jackson practices at 725 Glenwood Dr Ste E790, Chattanooga, TN 37404. The listed phone number is (423) 495-3068.

What is Charles Jackson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Charles Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Charles Jackson was last updated on June 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.