Gregory Dwain Jackson, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

11549 Issued in AL

Practice address

2010 Brookwood Medical Ctr Dr
Birmingham, AL 35209-6804

Phone

(205) 877-1990

Fax

(205) 824-8111

NPI assigned

Apr 10, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL, GA2 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 2

Merit-based Incentive Payment System (MIPS)

Final score

96.22 of 100Reported as group

Quality

95.56

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• bcbs alabama network 01E0
• bcbs alabama network 01H0
• bcbs alabama network 01A0
• bcbs alabama network 01I0
• bcbs alabama network 01C0
• bcbs alabama network 01B0
• bcbs alabama network 01G0

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Cooper Green Mercy Health Services Authority an Affiliate of Uab

  • Clinic/Center
  • Birmingham, AL
  • NPI 1366073108
  Medicare reassignment NPD
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment NPD
• Urology Centers of Alabama PC

  • Urology Physician
  • Homewood, AL
  • NPI 1710962550

  Diagnostic Radiology

  Medicare reassignment NPD
• Brookwood Womens Diagnostic Center, LLC

  • Radiology Clinic/Center
  • Birmingham, AL
  • NPI 1770519001
  NPD
• Cooper Green Mercy Health Services Authority an Affiliate of Uab

  • Clinic Pharmacy
  • Birmingham, AL
  • NPI 1568081644
  NPD
• Radiology Associates of Birmingham PC

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1093778706
  NPD
• Urology Centers of Alabama PC

  • Community/Retail Pharmacy
  • Homewood, AL
  • NPI 1023861796
  NPD
• Brookwood Diagnostic Imaging Center, LLC

  • Radiology Clinic/Center
  • Birmingham, AL
  • NPI 1538520721
  NPD (past)
• Southlake Orthopaedics Sports Medicine and Spine Center, PC

  • Prosthetic/Orthotic Supplier
  • Hoover, AL
  • NPI 1780281741
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1104889070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 COLUMBIANA RD",
            "address_2": "SUITE 4400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352162153",
            "telephone_number": "205-824-8000",
            "fax_number": "205-824-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 BROOKWOOD MEDICAL CTR DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096804",
            "telephone_number": "205-877-1990",
            "fax_number": "205-824-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "GREGORY",
        "middle_name": "DWAIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "11549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "51017074",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jackson
• Emily Jackson
• Emily Jackson, LMSW, RBT
• Eric Jackson, ATC
• Faith Jackson
• Janice Gibson Jackson, DMD
• Jerimesha Jackson, CRNP
• Jerry W Jackson, MD
• Jo Anne Jackson, DMD
• Juyoung Jackson, FNP-C

• Diagnostic Radiology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Diagnostic Radiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.