Stephen T Jackson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00015458 Issued in AL

Practice address

1613 N McKenzie St
Foley, AL 36535-2247

Phone

(251) 949-3710

Fax

(251) 949-3715

NPI assigned

Jul 28, 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 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Internal Medicine

Education

Wake Forest University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foley Clinic Corp.Group PAC ID 5193741759, 86 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Foley Home health agency, Foley, AL, CCN 017069
• Gentiva Mobile Hospice, Mobile, AL, CCN 011605
• Baldwin Health Hospital, Foley, AL, CCN 010083
• Thomas Hospital Hospital, Fairhope, AL, CCN 010100

Merit-based Incentive Payment System (MIPS)

Final score

87.97 of 100Reported as apm

Quality

75.95

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1599/brand/1/csg/341/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.

• Foley Clinic Corp

  • Family Medicine Physician
  • Gulf Shores, AL
  • NPI 1629027826

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Foley Clinic Corp

  • Durable Medical Equipment & Medical Supplies
  • Foley, AL
  • NPI 1427296029
  NPD
• Foley Hospital Company LLC

  • General Acute Care Hospital
  • Foley, AL
  • NPI 1053382655
  NPD (past)

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

• Amedisys Home Health of Alabama, LLC

  • Home Health Agency
  • Foley, AL
  • NPI 1013975572
  Care Compare affiliation
• Foley Hospital Company LLC

  • General Acute Care Hospital
  • Foley, AL
  • NPI 1053382655
  Care Compare affiliation
• Gulf Health Hospitals, Inc

  • General Acute Care Hospital
  • Fairhope, AL
  • NPI 1447303227
  Care Compare affiliation
• Odyssey Healthcare Operating B, LP

  • Community Based Hospice Care Agency
  • Mobile, AL
  • NPI 1184625717
  Care Compare affiliation

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1790799211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352247",
            "telephone_number": "251-949-3710",
            "fax_number": "251-949-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352247",
            "telephone_number": "251-949-3710",
            "fax_number": "251-949-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "STEPHEN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00015458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04685310",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235881",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Imc Foley Medical Clinic, PC
• Imc-Baldwin Surgery, LLC
• Immediate Care Foley
• Immediate Care Foley LLC
• Cole Irvin
• Jacob Greuel MD PC
• Janet L Hoffman, MD, PC
• Tammy Kay Jansen, CRNA
• Jason D Harrah MD
• Jason Michael Bailey DMD PC

• Internal Medicine Physician in Foley, AL
• Providers in Foley, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.