DR. ANTHONY WADE JACKSON SR. M.D.
NPI 1154477453
Psychiatry & Neurology - Child & Adolescent Psychiatry in Oxford, MS

NPI Status: Active since January 27, 2007

Contact Information

152 HIGHWAY 7 S
OXFORD, MS
ZIP 38655
Phone: (662) 488-8878

Get Directions Reviews

  • Individual
  • Male
  • Years of Experience 35
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ANTHONY JACKSON

This page provides the complete NPI Profile along with additional information for Anthony Jackson, a provider established in Oxford, Mississippi with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry and more than 35 years of experience. He graduated from Meharry Medical College School Of Medicine in 1991. The healthcare provider is registered in the NPI registry with number 1154477453 assigned on January 2007. The practitioner's primary taxonomy code is 2084P0804X with license number 14917 (MS). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1154477453
Provider Name
DR. ANTHONY WADE JACKSON SR. M.D.
Gender
Male
Entity Type
Individual
Location Address
152 HIGHWAY 7 S OXFORD, MS 38655
Location Phone
(662) 488-8878
Mailing Address
152 HIGHWAY 7 S OXFORD, MS 38655
Mailing Phone
(662) 488-8878
Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduation Year
1991
Is Sole Proprietor?
Yes
Enumeration Date
01-27-2007
Last Update Date
09-09-2015
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
14917
License State
MS
Taxonomy Description
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • BlueCross B07E HSA - EPO
  • BlueCross B07S HSA - EPO
  • BlueCross B15E $0 virtual care from Teladoc Health � - EPO
  • BlueCross B15S $0 virtual care from Teladoc Health � - EPO
  • BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental - EPO
  • BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
  • BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze 5500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze 6500 Indiv Med Deductible - EPO
  • Connect Bronze 7500 Indiv Med Deductible - EPO
  • Connect Bronze 8500 Indiv Med Deductible - EPO
  • Connect Bronze CMS Standard - EPO
  • Connect Gold 2000 Indiv Med Deductible - EPO
  • Connect Gold CMS Standard - EPO
  • Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Silver 2875 Indiv Med Deductible - EPO
  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Gold Value ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Value+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Anthony Jackson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Anthony Jackson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7810883485

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040403000154

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. ANTHONY WADE JACKSON SR. M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154477453
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211048714410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 8 + 7 + 1 + 4 + 4 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1154477453 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962597708DR. MICHAEL DEAN ROBERTS PH.D.
Individual
Psychologist (Clinical)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1487865101MRS. MAKESHIA RHODEN-MCAFEE MS, PCMHT
Individual
Counselor (Mental Health)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1699968040 DIXIE J CHURCH MA
Individual
Marriage & Family Therapist152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1740463447MR. HEATH REED STEVENS M.ED.
Individual
Counselor (Mental Health)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1770767402 AMBER KRISTEN KIRK LMSW
Individual
Social Worker152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1851575591MS. CHARLSEA DEE CLARK-STOWE M.S.
Individual
Counselor (Mental Health)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1447433149 JAMES LOYD TYSON JR. M.S
Individual
Marriage & Family Therapist152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1952585630MR. WILLIAM ROBERT LAKE M. ED. L. M. F. T.
Individual
Marriage & Family Therapist152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1649454356MR. RODERICK LEE VESTER M.A.
Individual
Counselor (Mental Health)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1013191642MS. KAREN THERESA PEAIRS M.A., J.D.
Individual
Counselor (Mental Health)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1124202775MS. LISA A. BYARS M.S.S.W., L.C.S.W.
Individual
Social Worker (Clinical)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1154505899MS. SELENA DOBILAS MS
Individual
Counselor (Mental Health)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1124202874 ALISSA JONAS DIBLASIO MS PCMHT
Individual
Counselor (Mental Health)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1942484589MS. GILLIAN MEREDITH LOVE LPC
Individual
Counselor (Professional)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1508040288 CATHERINE BEST DAVIS CMHT
Individual
Counselor152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1386828002MR. MARC E WALTERS PCMHT
Individual
Counselor (Mental Health)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1023292653MRS. PAMELA R CROWDER LMFT
Individual
Marriage & Family Therapist152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1467636126MRS. ANGELIA ROYER LENSCHAU LMSW
Individual
Social Worker152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1033393616MRS. KARON LOUISE STANFORD M.S.
Individual
Counselor (Mental Health)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521
1265616866 JULIE GARNER
Individual
Counselor (Mental Health)152 HIGHWAY 7 S
OXFORD, MS 38655
(662) 234-7521

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154477453, enumerated in the NPI registry as an "individual" on January 27, 2007

The provider is located at 152 Highway 7 S Oxford, Ms 38655 and the phone number is (662) 488-8878

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0804X with a focus in Child & Adolescent Psychiatry

The provider has more than 35 years of experience. He graduated from Meharry Medical College School Of Medicine in 1991.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on January 27, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.