Mark F Jackson, M.D.

Primary specialty

Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X

License

ME142795 Issued in FL

Practice address

3930 US 1 S
Saint Augustine, FL 32086-7089

Phone

(352) 283-3568

Fax

(904) 217-3081

NPI assigned

Feb 6, 2007

Last updated

Sep 29, 2026By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, KY2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mjackson333978@direct.shands.ufl.edu

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.

• BHG Xxiv, LLC

  dba BHG Paintsville Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Paintsville, KY
  • NPI 1568808640
  Medicare reassignment NPD
• BHG XXV, LLC

  dba BHG Pikeville Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pikeville, KY
  • NPI 1710323894
  Medicare reassignment NPD
• BHG Xxvi, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hazard, KY
  • NPI 1417393414
  Medicare reassignment NPD
• BHG Xxxiii, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Paducah, KY
  • NPI 1982027199
  Medicare reassignment NPD
• BHG Xxxiv, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Corbin, KY
  • NPI 1578986345
  Medicare reassignment NPD
• BHG XXXV, LLC

  dba BHG Lexington Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lexington, KY
  • NPI 1386067254
  Medicare reassignment NPD
• BHG Lviii, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Corbin, KY
  • NPI 1376282426
  NPD
• BHG XXXV, LLC

  dba BHG Berea Treatment Center

  • Methadone Clinic
  • Berea, KY
  • NPI 1558895631
  NPD

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1255470209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 NW 8TH AVE",
            "address_2": "SUITE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054582",
            "telephone_number": "352-416-1082",
            "fax_number": "352-373-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 US 1 S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320867089",
            "telephone_number": "352-283-3568",
            "fax_number": "904-217-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MARK",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2026-09-29",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "40009",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "FL",
            "license": "ME142795",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME142795",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000566553",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J Greg Dent M D & Associates P L
• J Mae Transportation
• Arlyn Rivera Jackson, MPT
• Deborah A Jackson, PHD,PT, OCS,CMP, ATC
• Julia Elaine Jackson
• Sandra Jackson, LMHC
• Jacksonville BH Services, LLC (Coastal Pines Behavioral Health)
• Jacksonville Orthopaedic Institute Inc
• Jacksonville Pediatrics World Golf Village PLLC
• Jacksonville Spine Center PA (Jax Spine & Pain Centers)

• Anesthesiology Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.