Kevin Jackson, DO

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0102208301 Issued in VA

Practice address

116 Nationwide Dr
Lynchburg, VA 24502-4271

Phone

(434) 947-3984

NPI assigned

Feb 9, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, TN, VA3 enrollments

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 3

Specialty

Ophthalmology

Education

Liberty Univ College of Osteopathic Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jonathan Woolfson MD PCGroup PAC ID 8426046665, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clinch Valley Medical Center Hospital, Richlands, VA, CCN 490060

Merit-based Incentive Payment System (MIPS)

Final score

85.81 of 100Reported as group

Quality

81.18

Promoting interoperability

92

Improvement activities

40

Cost

78.2

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kjackson@woolfsoneye.emadirect.md

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

• Jonathan Woolfson, MD, PC

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1891935599

  TN, VA

  Medicare reassignment Care Compare group
• Piedmont Eye Center, Inc.

  • Ophthalmology Physician
  • Lynchburg, VA
  • NPI 1801857529

  Multi-Specialty

  NPD (past)
• Jonathan Woolfson, MD, P.C.

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1255577300
  NPD (past)

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

• Clinch Valley Medical Center Inc.

  • General Acute Care Hospital
  • Richlands, VA
  • NPI 1871534297
  Care Compare affiliation

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

{
    "created_epoch": "1549670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1104381573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 COLD BRANCH RD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512110",
            "telephone_number": "717-574-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 NATIONWIDE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024271",
            "telephone_number": "434-947-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KEVIN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-09",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0102208301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa W Jackson, DO
• Bradley Jackson
• Cerria Jackson, LPC
• Gabrielle K. Jackson, M.D.
• Karen Sydni Jackson, ATC
• Mary Tiffany Jackson, FNP
• Olivia Jackson, SPECIALIST
• Pamela Sue Jackson, NP
• Rasheedah Jackson, SOCIAL WORKER
• Stephen Jackson

• Ophthalmology Physician in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.