Doctor profile · Federal record

Dr. MARY JACKSON, DO

Emergency Medicine Physician (CMS: EMERGENCY MEDICINE) · Emergency Medicine Physician · MCMINNVILLE, TN

  • NPI 1790349595
  • Accepts Medicare
  • MIPS 83.3 / 100 · 2023
  • 7 yrs in practice
  • Licensed in 2 states
  • Female
  • Solo practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
1559 SPARTA ST
MCMINNVILLE, TN 371101316
(931) 815-4000
Additional location
600 Elizabeth St
Corpus Christi, TX 784042235
(361) 861-1864
Mailing address
600 ELIZABETH ST
CORPUS CHRISTI, TX 784042235

Credentials & registration

NPPES · NUCC
NPI registered
April 2019 — 7 yrs on file
Profile last updated
March 7, 2025
Year of graduation
2019 — 7 yrs since
Specialty taxonomy
207P00000X — NUCC code
State licenses (2)
Tennessee #4783 · Texas #T4337

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1790349595. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
181
Distinct HCPCS
3
Medicare allowed
$28,660
HCPCS Description Services Patients Avg allowed
99285 Emergency department visit with high level of medical decision making 137 134 $164
99284 Emergency department visit with moderate level of medical decision making 30 30 $113
99291 Critical care, first 30-74 minutes 14 14 $199

In context: peer comparison

Among 3 peers in this city , average services per provider: 107. This provider delivers 1.7× the peer median.

Hospital affiliations

CMS Hospital Compare