Paul A Jackson, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

38872 Issued in TN

Practice address

1602 W Northfield Blvd
Suite 511
Murfreesboro, TN 37129-6057

Phone

(615) 494-1255

Fax

(615) 896-0403

NPI assigned

Jul 25, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)

Education

Howard University College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Suncrest Home Health Home health agency, Nashville, TN, CCN 447403
• Tristar Stonecrest Medical Center Hospital, Smyrna, TN, CCN 440227
• Saint Thomas Rutherford Hospital Hospital, Murfreesboro, TN, CCN 440053

Merit-based Incentive Payment System (MIPS)

Final score

88.32 of 100Reported as individual

Quality

83.03

Promoting interoperability

80

Improvement activities

40

Cost

83.79

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: paul.jackson.2@29160.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gethsemane Cardiovascular Clinic PLLC

  • Cardiovascular Disease Physician
  • Murfreesboro, TN
  • NPI 1356652200
  Medicare reassignment NPD
• Gethsemane Cardiovascular Clinic

  • Cardiovascular Disease Physician
  • Murfreesboro, TN
  • NPI 1407865785
  Authorized official Same address or phone
• Gresham & Associates Cardiology Group, PLLC

  • Specialist
  • Murfreesboro, TN
  • NPI 1609899673
  NPD (past)
• Care Group LLC

  • Cardiovascular Disease Physician
  • Indianapolis, IN
  • NPI 1649220195
  NPD (past)
• St. Vincent Carmel Hospital, Inc.

  dba Ascension St. Vincent Carmel

  • General Acute Care Hospital
  • Carmel, IN
  • NPI 1639124134
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Tennessee, Inc.

  dba TriStar StoneCrest Medical Center

  • General Acute Care Hospital
  • Smyrna, TN
  • NPI 1992776405
  Care Compare affiliation
• Saint Thomas Rutherford Hospital

  dba Ascension Saint Thomas Rutherford

  • General Acute Care Hospital
  • Murfreesboro, TN
  • NPI 1164590386
  Care Compare affiliation
• Suncrest Healthcare of Middle TN, LLC

  dba SunCrest Home Health

  • Home Health Agency
  • Nashville, TN
  • NPI 1326103706
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1093738536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 WINTERBERRY DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371301149",
            "telephone_number": "615-896-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W NORTHFIELD BLVD",
            "address_2": "SUITE 511",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371296057",
            "telephone_number": "615-494-1255",
            "fax_number": "615-896-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "38872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey H Jackson, LCSW
• Madison Jackson, RBT
• Marilyn Moran Jackson, DC
• Morgan F Jackson, MD
• Myrvienne Jackson, FNP
• Paul Anthony Jackson Jr.
• Rachelle Moriah Jackson, O.D.
• Shonta Monique Jackson
• Tamba Jackson
• Torria Jackson, APRN

• Cardiovascular Disease Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Cardiovascular Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.