Daniel Brett Jackson, MD

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

42028 Issued in AL

Practice address

619 19TH St S
Birmingham, AL 35249-1900

Phone

(205) 934-4011

NPI assigned

Apr 10, 2019

Sex

Male

Sole proprietor

Yes

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 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

Pathology

Education

University of South Alabama College of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathology Associates of AlabamaGroup PAC ID 0941293864, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grandview Medical Center Hospital, Birmingham, AL, CCN 010104
• Princeton Baptist Medical Center Hospital, Birmingham, AL, CCN 010103
• Gadsden Regional Medical Center Hospital, Gadsden, AL, CCN 010040
• Walker Baptist Medical Center Hospital, Jasper, AL, CCN 010089

Merit-based Incentive Payment System (MIPS)

Final score

76.3 of 100Reported as group

Quality

50

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Pathology Associates of Alabama

  • Anatomic Pathology & Clinical Pathology Physician
  • Birmingham, AL
  • NPI 1396815536
  Medicare reassignment Care Compare group NPD
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment NPD
• Gastroenterology Associates of North-Central Alabama Inc

  • Specialist
  • Birmingham, AL
  • NPI 1528080595
  Medicare reassignment

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

• Affinity Hospital LLC

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1023061405
  Care Compare affiliation
• BBH PBMC, LLC

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1164876546
  Care Compare affiliation
• BBH WBMC, LLC

  • General Acute Care Hospital
  • Jasper, AL
  • NPI 1932553385
  Care Compare affiliation
• Gadsden Regional Medical Center LLC

  • General Acute Care Hospital
  • Gadsden, AL
  • NPI 1225081516
  Care Compare affiliation

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1902369549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352491900",
            "telephone_number": "205-934-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3690 Grandview Parkway",
            "address_2": "Pathology Department",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "35243",
            "country_code": "US",
            "telephone_number": "205-971-5052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DANIEL",
        "middle_name": "BRETT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-10",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "AL",
            "license": "42028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmesia Jackson
• Caroline Vandiver Jackson, MD
• Cheryl Lynn Jackson, OTR/L
• Clissie Terersa Jackson, HOME CARE
• Colette Jackson, MD
• Deeanne S Jackson, M.D.
• Dynasty Jackson, NBHWC, LBSW
• Elizabeth Jackson
• Emily Jackson
• Emily Jackson, LMSW, RBT

• Anatomic Pathology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Anatomic Pathology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.