Robert Derek Jackson, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

D0055688 Issued in MD

Practice address

2080 Child St
Jacksonville, FL 32214-5005

Phone

(904) 542-7631

NPI assigned

Jan 31, 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

Medicare fee-for-service enrollment

Enrolled in FL, IN2 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

Specialty

Anesthesiology

Education

Uniformed Services Uhs Fe Hebert School of Med, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Red Reef Anesthesia IncGroup PAC ID 3375078108, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Red Reef Anesthesia Inc

  • Anesthesiology Physician
  • Port St Lucie, FL
  • NPI 1851169775
  Medicare reassignment Care Compare group NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  IN

  Medicare reassignment NPD
• Anesthesiology Professional Services, Inc.

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1902856891
  Medicare reassignment NPD
• Fleming Island Anesthesia LLC

  • Anesthesiology Physician
  • Orange Park, FL
  • NPI 1487945895
  Medicare reassignment NPD
• Florida Pain Relief Group PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tampa, FL
  • NPI 1376994608

  Anesthesiology

  Medicare reassignment NPD
• Miami Anesthesia Services LLC

  • Anesthesiology Physician
  • Aventura, FL
  • NPI 1821475179
  Medicare reassignment NPD
• Physician Partners of America Crna Operations LLC

  • Anesthesiology Physician
  • Hurst, TX
  • NPI 1992129365

  FL

  Medicare reassignment NPD
• Redreef Anesthesia Associates Chartered Indiana LLC

  • Anesthesiology Physician
  • Gary, IN
  • NPI 1215783766
  Medicare reassignment NPD
• Physicians Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Ft Myers, FL
  • NPI 1770588584
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780655399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CHILD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322145005",
            "telephone_number": "904-542-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CHILD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322145005",
            "telephone_number": "904-542-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ROBERT",
        "middle_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0055688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parker-Lynn Jackson
• Patricia McGarvey Jackson, PA
• Rachel Elizabeth Jackson
• Raven Mykel Jackson, MSED
• Riley Elizabeth Jackson, PA-C
• Ronald Todd Jackson, D.M.D.
• Roseann Jackson, PT
• Russell Jackson
• Samia Jackson, APRN
• Samia Jackson, B.S.

• Anesthesiology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.