Toni Jackson, - Medicare Emergency Medicine in Valdosta, GA

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Toni Jackson, is a medicare enrolled "Emergency Medicine" physician in Valdosta, Georgia. Her current practice location is 4280 N Valdosta Rd, Valdosta, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 259-4135.

Toni Jackson is licensed to practice in Florida (license number 174217) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376939124.

Contact Information

Toni Jackson,
4280 N Valdosta Rd,
Valdosta, GA 31602-6814
(229) 259-4135
Not Available

Map and Direction




Physician's Profile

Full NameToni Jackson
GenderFemale
SpecialityEmergency Medicine
Location4280 N Valdosta Rd, Valdosta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376939124
  • Provider Enumeration Date: 04/08/2015
  • Last Update Date: 05/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5991008146
  • Enrollment ID: I20190124002859

Medical Identifiers

Medical identifiers for Toni Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376939124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 174217 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Toni Jackson allows following entities to bill medicare on her behalf.
Entity NameNorthside Emergency Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285686303
PECOS PAC ID: 9335135144
Enrollment ID: O20040426000165
Entity NameAcs Primary Care Physicians - Southeast Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861430555
PECOS PAC ID: 5193620714
Enrollment ID: O20040901000766
Entity NameSouth Georgia Emergency Medicine Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386903649
PECOS PAC ID: 4880850775
Enrollment ID: O20120720000457
Entity NameWalker Lake Emergency Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437629342
PECOS PAC ID: 0840531919
Enrollment ID: O20190418001186

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Toni Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Toni Jackson,
1782 Caswell Pkwy,
Marietta, GA 30060-9267

Ph: (404) 808-2160		Toni Jackson,
4280 N Valdosta Rd,
Valdosta, GA 31602-6814

Ph: (229) 259-4135

Reviews and Comments


Emergency Medicine Doctors in Valdosta, GA

Dr. Charles John Ussery, D.O.
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Medicare: Accepting Medicare Assignments
Practice Location: 2501 N Patterson St, South Georgia Medical Center, Valdosta, GA 31602
Phone: 229-333-1110    
Jeffrey Cohan, DO
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Practice Location: 2501 N Patterson St, Valdosta, GA 31602
Phone: 229-333-1000    
Richard A Ambrozic, MD
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Practice Location: 2501 N Patterson St, Valdosta, GA 31602
Phone: 229-333-1000    
Alan Stout, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 612 N Patterson St, Valdosta, GA 31601
Phone: 706-980-9975    
Joel Quinones, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2501 N Patterson St, Valdosta, GA 31602
Phone: 229-333-1000    
Sharon D Colvin, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2501 N Patterson St, Valdosta, GA 31602
Phone: 229-333-1000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.