Doctor profile · Federal record
Dr. Dominique Jackson
Nurse Practitioner · Jackson, MS
- NPI 1679000814
- Accepts Medicare
- 18 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
766B Lakeland Dr
Jackson, MS 392164610
(601) 982-2916
fax (601) 366-2916
Credentials & registration
- NPI registered
- May 2017 — 9 yrs on file
- Profile last updated
- April 20, 2021
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Mississippi #901975
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1679000814. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
12
Distinct HCPCS
1
Medicare allowed
$1,551
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99204 |
New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $129 |
In context: peer comparison
Among 43 peers in this city , average services per provider: 196. This provider delivers 0.1× the peer median.Open Payments
Industry payments received
All-time total
$33
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ferring Pharmaceuticals Inc. | 1 | $33.07 |
By nature of payment
Frequently asked questions
What is Dr. Dominique Jackson's medical specialty?
Dr. Dominique Jackson practices Nurse Practitioner in Jackson, MS.
Where does Dr. Dominique Jackson practice?
Dr. Dominique Jackson practices at 766B Lakeland Dr, Jackson, MS 392164610. Office phone: 6019822916.
What is Dr. Dominique Jackson's NPI?
Dr. Dominique Jackson's National Provider Identifier (NPI) is 1679000814, issued by NPPES.
Does Dr. Dominique Jackson accept Medicare assignment?
Yes. Dr. Dominique Jackson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Dominique Jackson commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.