Individual provider Active NPI

Sharon Christina Jackson, M.D.

  • Dermatology Physician
  • Naples, FL
National Provider Identifier
1407820764
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME87891 Issued in FL
Practice address
4500 Executive Dr Ste 300
Naples, FL 34119-8908
Phone
(239) 598-9009
Fax
(239) 598-5009
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME87891 FL Primary

Addresses

Primary practice location

4500 Executive Dr Ste 300
Naples, FL 34119-8908

Mailing address

4500 Executive Dr Ste 300
Naples, FL 34119-8908
Phone (239) 598-9009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20050915000137 FL Practitioner - Dermatology 6608809199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Center, PA.Group PAC ID 4789617333, 3 clinicians

Practice addresses (Care Compare)

4500 Executive Dr
Suite 300
Naples, FL 34119-8908
Phone (239) 598-9009

Merit-based Incentive Payment System (MIPS)

Final score
80.18 of 100Reported as group
Quality
90
Promoting interoperability
99
Improvement activities
40
Cost
44.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1862
Removal or shaving of skin growth1-10
Skin biopsy1480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology PA Dermatology PastSince Oct 1, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFHAAA/Endpoint/DFHAAA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1407820764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 EXECUTIVE DR STE 300",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198908",
            "telephone_number": "239-598-9009",
            "fax_number": "239-598-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 EXECUTIVE DR STE 300",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198908",
            "telephone_number": "239-598-9009",
            "fax_number": "239-598-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHARON",
        "middle_name": "CHRISTINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME87891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.