Active NPI 1205839362 Individual Practitioner Male Practitioner

Dr. Ivan D. Jackson , MD

Internal Medicine • Dothan, AL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ivan Jackson, MD is a certified Internal Medicine practicing in Dothan, AL. With approximately 47 years of clinical experience since graduating from University Of South Alabama College Of Medicine in 1979, Dr. Jackson delivers high-quality medical care to the local community at 210 WESTSIDE DR.

Dr. Jackson is affiliated with Wiregrass Clinic Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

210 Westside Dr

Dothan, AL 363031928

Telephone 3347935074

Fax 3347936460

Associated Practice Facility / Clinic

🏢 Internal Medicine Associates Of Dothan, P.a. Facility NPI 1336196682

Medicare Profile & Education

Medical School

University Of South Alabama College Of Medicine

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dothan, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +27.4 yrs vs City Avg

City Avg: 19.6 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

78 Specialists

Practicing in Dothan, AL (1784 Statewide)

Telehealth Adoption Rate

10.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

52.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (47 Years) 47 Yrs

Dothan Specialty Average (19.6 Years) 19.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	1,676	15	$1.00	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	259	107	$199.00	$117.30
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	151	83	$42.00	$15.32
99213 Established patient office or other outpatient visit, typically 15 minutes	134	87	$125.63	$82.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	108	108	$281.00	$118.87
36415 Insertion of needle into vein for collection of blood sample	106	73	$9.00	$8.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	65	50	$32.00	$7.61
80053 Blood test, comprehensive group of blood chemicals	45	43	$40.00	$10.35
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	22	$31.00	$12.99
80048 Blood test, basic group of blood chemicals (calcium, total)	26	22	$34.00	$8.29
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	21	15	$106.00	$37.68
80061 Blood test, lipids (cholesterol and triglycerides)	18	18	$43.00	$13.12
G0444 Annual depression screening, 5 to 15 minutes	16	16	$45.00	$17.04
G0442 Annual alcohol misuse screening, 5 to 15 minutes	16	16	$45.00	$17.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$94.00	$51.16
G0008 Administration of influenza virus vaccine	13	13	$32.00	$29.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	314	121	$199.00	$119.69
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	122	71	$32.00	$7.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	106	106	$281.00	$121.54
80048 Blood test, basic group of blood chemicals (calcium, total)	96	54	$34.00	$8.29
80053 Blood test, comprehensive group of blood chemicals	89	69	$40.00	$10.35
99213 Established patient office or other outpatient visit, typically 15 minutes	84	66	$127.00	$84.61
80061 Blood test, lipids (cholesterol and triglycerides)	40	35	$43.00	$13.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	31	$31.00	$13.15
J1040 Injection, methylprednisolone acetate, 80 mg	29	22	$32.00	$11.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	20	$94.00	$52.58
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	19	$139.00	$48.68
84443 Blood test, thyroid stimulating hormone (TSH)	21	16	$63.00	$16.46
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	19	14	$106.00	$38.25
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	17	14	$18.00	$6.34
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	17	17	$197.06	$40.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	12	$289.00	$168.55
87804 Detection test by immunoassay with direct visual observation for influenza virus	11	11	$41.00	$16.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	332	121	$199.00	$122.16
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	181	95	$32.00	$7.64
99213 Established patient office or other outpatient visit, typically 15 minutes	118	74	$127.00	$86.61
80053 Blood test, comprehensive group of blood chemicals	113	85	$40.00	$10.45
80048 Blood test, basic group of blood chemicals (calcium, total)	105	50	$34.00	$8.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	95	95	$281.00	$125.30
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	56	43	$125.00	$34.93
36415 Insertion of needle into vein for collection of blood sample	52	42	$9.00	$2.97
80061 Blood test, lipids (cholesterol and triglycerides)	44	43	$43.00	$13.29
71046 X-ray of chest, 2 views	42	25	$50.33	$21.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	20	$31.00	$13.54
81001 Manual urinalysis test with examination using microscope, automated	29	19	$13.00	$3.13
84443 Blood test, thyroid stimulating hormone (TSH)	28	24	$63.00	$16.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$94.00	$53.63
G0008 Administration of influenza virus vaccine	24	24	$29.00	$27.43
J1040 Injection, methylprednisolone acetate, 80 mg	23	17	$32.00	$11.09
77080 Dxa bone density measurement of hip, pelvis, spine	22	22	$244.64	$34.26
90662 Influenza vaccine split virus, preservative free	22	22	$59.00	$57.87
81003 Automated urinalysis test	19	17	$9.00	$2.22
87804 Detection test by immunoassay with direct visual observation for influenza virus	15	15	$41.00	$16.42
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$52.00	$13.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	236	98	$199.00	$124.79
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	200	104	$32.00	$7.73
99213 Established patient office or other outpatient visit, typically 15 minutes	196	101	$127.00	$87.53
36415 Insertion of needle into vein for collection of blood sample	190	98	$9.00	$3.00
80048 Blood test, basic group of blood chemicals (calcium, total)	130	56	$34.00	$8.46
80053 Blood test, comprehensive group of blood chemicals	129	93	$40.00	$10.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	86	86	$281.00	$128.06
J1040 Injection, methylprednisolone acetate, 80 mg	63	28	$32.00	$10.64
80061 Blood test, lipids (cholesterol and triglycerides)	57	54	$43.00	$13.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	39	$94.00	$53.84
90662 Influenza vaccine split virus, preservative free	47	47	$59.00	$57.74
84443 Blood test, thyroid stimulating hormone (TSH)	46	36	$63.00	$16.80
G0008 Administration of influenza virus vaccine	46	46	$29.00	$15.86
71046 X-ray of chest, 2 views	44	35	$49.00	$20.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	30	$31.00	$13.52
81001 Manual urinalysis test with examination using microscope, automated	43	31	$13.00	$3.17
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	41	35	$125.00	$34.47
J1100 Injection, dexamethasone sodium phosphate, 1 mg	39	18	$2.00	$0.15
81003 Automated urinalysis test	36	25	$9.00	$2.25
77080 Dxa bone density measurement of hip, pelvis, spine	16	16	$246.00	$35.68
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	15	$139.00	$50.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	299	127	$197.35	$103.25
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	298	132	$32.00	$7.73
80053 Blood test, comprehensive group of blood chemicals	199	130	$40.00	$10.49
36415 Insertion of needle into vein for collection of blood sample	183	102	$9.00	$3.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	176	82	$281.00	$108.50
99213 Established patient office or other outpatient visit, typically 15 minutes	175	91	$126.47	$70.89
80048 Blood test, basic group of blood chemicals (calcium, total)	160	74	$34.00	$8.41
J1040 Injection, methylprednisolone acetate, 80 mg	100	41	$32.00	$11.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	67	39	$31.00	$13.52
80061 Blood test, lipids (cholesterol and triglycerides)	61	55	$43.00	$13.26
84443 Blood test, thyroid stimulating hormone (TSH)	60	43	$63.00	$16.71
G0008 Administration of influenza virus vaccine	54	53	$29.00	$15.59
90662 Influenza vaccine split virus, preservative free	52	52	$59.00	$58.65
71046 X-ray of chest, 2 views	47	31	$49.00	$19.65
81001 Manual urinalysis test with examination using microscope, automated	43	30	$13.00	$3.15
81003 Automated urinalysis test	35	29	$9.00	$2.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	27	$94.00	$41.92
J1100 Injection, dexamethasone sodium phosphate, 1 mg	27	21	$2.00	$0.12
20610 Aspiration and/or injection of fluid from large joint	22	17	$207.00	$59.79
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	21	18	$113.86	$35.33
84153 Psa (prostate specific antigen) measurement, total	17	15	$70.00	$18.26
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	16	13	$14.00	$4.23
93000 Routine ekg using at least 12 leads including interpretation and report	15	13	$52.00	$16.08
G0009 Administration of pneumococcal vaccine	11	11	$29.00	$15.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,033	467	$199.00	$100.52
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	532	338	$32.00	$8.42
80053 Blood test, comprehensive group of blood chemicals	396	307	$40.00	$11.42
80048 Blood test, basic group of blood chemicals (calcium, total)	320	173	$34.00	$9.16
99213 Established patient office or other outpatient visit, typically 15 minutes	237	164	$127.00	$68.00
80061 Blood test, lipids (cholesterol and triglycerides)	234	200	$43.00	$14.35
J1040 Injection, methylprednisolone acetate, 80 mg	228	96	$32.00	$12.20
83036 Hemoglobin A1C level	196	139	$37.00	$10.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	177	99	$31.00	$15.54
71046 X-ray of chest, 2 views	131	108	$49.64	$18.24
84443 Blood test, thyroid stimulating hormone (TSH)	131	100	$63.00	$18.30
G0008 Administration of influenza virus vaccine	124	121	$29.00	$15.30
36415 Insertion of needle into vein for collection of blood sample	116	100	$9.00	$2.94
85610 Blood test, clotting time	108	18	$15.00	$4.28
81001 Manual urinalysis test with examination using microscope, automated	103	80	$13.00	$3.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	99	99	$281.00	$108.97
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	76	17	$6.00	$1.78
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	70	70	$48.63	$17.48
90662 Influenza vaccine split virus, preservative free	53	53	$59.00	$54.89
93793 Anticoagulant management of patient taking warfarin	53	14	$34.00	$11.41
J1100 Injection, dexamethasone sodium phosphate, 1 mg	53	46	$2.00	$0.12
77080 Dxa bone density measurement of hip, pelvis, spine	41	41	$245.27	$36.27
81003 Automated urinalysis test	40	35	$9.00	$2.44
20610 Aspiration and/or injection of fluid from large joint	37	35	$200.68	$56.74
93000 Routine ekg using at least 12 leads including interpretation and report	35	31	$52.00	$15.70
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	26	$139.00	$49.79
G0009 Administration of pneumococcal vaccine	29	29	$29.00	$15.30
G0444 Annual depression screening, 5 to 15 minutes	25	25	$45.00	$16.82
G0442 Annual alcohol misuse screening, 5 to 15 minutes	24	24	$45.00	$16.82
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	22	16	$106.00	$38.35
82044 Urine microalbumin (protein) analysis	22	22	$9.00	$6.11
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	21	19	$14.00	$4.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$94.00	$41.87
90471 Administration of 1 vaccine	20	20	$31.00	$15.53
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	19	19	$24.00	$8.20
84153 Psa (prostate specific antigen) measurement, total	19	19	$70.00	$19.23
82570 Creatinine level to test for kidney function or muscle injury	18	18	$21.00	$5.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$289.00	$131.28
G0103 Prostate cancer screening; prostate specific antigen test (psa)	17	17	$70.00	$20.03
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$200.00	$110.74
99496 Transitional care management services for problem of high complexity	15	15	$570.00	$217.15
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	15	15	$60.00	$17.32
90670 Pneumococcal vaccine for injection into muscle	13	13	$401.00	$205.63
87804 Detection test by immunoassay with direct visual observation for influenza virus	13	13	$41.00	$16.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,148	454	$199.00	$96.04
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	467	302	$32.00	$9.28
80053 Blood test, comprehensive group of blood chemicals	362	294	$40.00	$12.60
80048 Blood test, basic group of blood chemicals (calcium, total)	253	155	$34.00	$10.09
80061 Blood test, lipids (cholesterol and triglycerides)	245	210	$43.00	$16.03
J1040 Injection, methylprednisolone acetate, 80 mg	223	95	$32.00	$12.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	214	100	$31.00	$18.17
83036 Hemoglobin A1C level	201	133	$37.00	$11.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	191	191	$281.00	$105.04
99213 Established patient office or other outpatient visit, typically 15 minutes	183	129	$127.00	$65.07
G0008 Administration of influenza virus vaccine	168	165	$29.00	$18.73
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	150	147	$48.63	$17.36
71046 X-ray of chest, 2 views	129	100	$49.43	$16.78
G0442 Annual alcohol misuse screening, 5 to 15 minutes	118	118	$45.00	$16.38
36415 Insertion of needle into vein for collection of blood sample	110	99	$9.00	$2.94
84443 Blood test, thyroid stimulating hormone (TSH)	107	96	$63.00	$20.19
85610 Blood test, clotting time	105	19	$15.00	$4.75
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	105	16	$6.00	$1.96
G0444 Annual depression screening, 5 to 15 minutes	89	89	$45.00	$16.07
81001 Manual urinalysis test with examination using microscope, automated	74	57	$13.00	$3.84
J1100 Injection, dexamethasone sodium phosphate, 1 mg	53	39	$2.00	$0.12
J1885 Injection, ketorolac tromethamine, per 15 mg	48	12	$3.00	$0.57
82044 Urine microalbumin (protein) analysis	47	46	$9.00	$6.11
82570 Creatinine level to test for kidney function or muscle injury	47	46	$21.00	$6.19
99495 Transitional care management services for problem of at least moderate complexity	41	36	$403.00	$148.10
81003 Automated urinalysis test	37	33	$9.00	$2.71
G0103 Prostate cancer screening; prostate specific antigen test (psa)	31	31	$70.00	$21.54
G0009 Administration of pneumococcal vaccine	29	29	$29.00	$18.73
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	24	$139.00	$48.42
93000 Routine ekg using at least 12 leads including interpretation and report	26	26	$52.00	$15.07
77080 Dxa bone density measurement of hip, pelvis, spine	22	22	$244.64	$36.29
20610 Aspiration and/or injection of fluid from large joint	21	17	$198.00	$49.22
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	20	14	$14.00	$4.29
84153 Psa (prostate specific antigen) measurement, total	19	18	$70.00	$22.26
90662 Influenza vaccine split virus, preservative free	19	19	$37.00	$36.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$289.00	$131.60
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	18	18	$24.00	$7.02
99496 Transitional care management services for problem of high complexity	17	15	$570.00	$209.71
90670 Pneumococcal vaccine for injection into muscle	16	16	$401.00	$200.25
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	15	14	$60.00	$17.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$331.00	$148.84
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$200.00	$105.59
90471 Administration of 1 vaccine	12	12	$31.00	$18.28
90472 Administration of vaccine, each additional vaccine	11	11	$31.00	$11.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,114	468	$193.67	$98.52
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	452	329	$32.00	$10.39
80053 Blood test, comprehensive group of blood chemicals	446	352	$37.88	$13.05
80061 Blood test, lipids (cholesterol and triglycerides)	290	240	$40.94	$13.30
99213 Established patient office or other outpatient visit, typically 15 minutes	277	187	$125.54	$67.31
83036 Hemoglobin A1C level	262	147	$36.07	$12.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	244	244	$259.66	$106.28
80048 Blood test, basic group of blood chemicals (calcium, total)	238	172	$33.05	$11.01
G0008 Administration of influenza virus vaccine	196	194	$28.77	$23.04
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	187	187	$36.23	$17.39
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	187	72	$30.36	$23.16
84443 Blood test, thyroid stimulating hormone (TSH)	163	122	$59.90	$22.36
85610 Blood test, clotting time	125	22	$14.66	$5.28
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	118	21	$6.51	$2.91
J1040 Injection, methylprednisolone acetate, 80 mg	114	63	$32.00	$11.32
J1100 Injection, dexamethasone sodium phosphate, 1 mg	91	50	$2.35	$0.11
71020 X-ray of chest, 2 views, front and side	85	70	$60.54	$17.66
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	82	77	$12.37	$6.22
81001 Manual urinalysis test with examination using microscope, automated	78	65	$12.50	$4.26
82044 Urine microalbumin (protein) analysis	45	44	$8.89	$3.04
36415 Insertion of needle into vein for collection of blood sample	43	41	$9.00	$2.88
99495 Transitional care management services for problem of at least moderate complexity	41	36	$354.61	$151.37
82570 Creatinine level to test for kidney function or muscle injury	38	37	$19.82	$6.53
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	36	26	$106.00	$38.12
G0103 Prostate cancer screening; prostate specific antigen test (psa)	34	34	$68.50	$24.73
81003 Automated urinalysis test	32	30	$9.00	$3.02
J1020 Injection, methylprednisolone acetate, 20 mg	29	12	$10.41	$4.95
93000 Routine ekg using at least 12 leads including interpretation and report	27	25	$52.07	$15.50
G0009 Administration of pneumococcal vaccine	27	27	$27.89	$22.09
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	22	$139.00	$49.72
90670 Pneumococcal vaccine for injection into muscle	25	25	$365.64	$171.70
99497 Advance care planning, first 30 minutes	22	22	$95.00	$74.61
20610 Aspiration and/or injection of fluid from large joint	17	16	$182.35	$55.69
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	15	15	$13.20	$4.77
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	15	15	$24.00	$7.87
77080 Dxa bone density measurement of hip, pelvis, spine	15	15	$233.20	$36.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$91.57	$40.05
G0442 Annual alcohol misuse screening, 5 to 15 minutes	12	12	$25.00	$15.14
84153 Psa (prostate specific antigen) measurement, total	12	11	$70.00	$24.73

Medical Specialties & State Licenses

CMS Verified: 2021-03-03

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AL 11508

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000015699 (AL)

Commercial Insurance / Payer ID Railroad Medicare

110082048

Hospital & Practice Group Affiliations

Wiregrass Clinic Llc

4300 W Main St, Dothan, AL 363051058

Wiregrass Clinic Llc

4300 W Main St, Dothan, AL 363051318

Phone: 3347935000

Wiregrass Clinic Llc

210 Westside Dr, Dothan, AL 363031928

Phone: 3347935074

Wiregrass Clinic Llc

500 Healthwest Dr, Dothan, AL 363036900

Phone: 3346995994

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners

Dr. Lewe West , MD

Internal Medicine

NPI 1265435341

Doctor of Medicine (M.D.)

Tina Cochran

Nurse Practitioner - Family

NPI 1265904825

Ashley Pippin , RN, FNP

Nurse Practitioner - Family

NPI 1326444589

Registered Nurse, Family Nurse Practitioner

Sarina Stephens , CRNP

Nurse Practitioner

NPI 1497338388

Certified Registered Nurse Practitioner

Cliff Sloop , NP

Nurse Practitioner

NPI 1548630452

Nurse Practitioner

Dr. William Davis , MD

Family Medicine

NPI 1619993649

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 16, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 16, 2009

Registered at 210 WESTSIDE DR, DOTHAN, AL 363031928 (Tel: 3347935074)

📍

Updated Business Mailing Address December 16, 2009

Registered at 210 WESTSIDE DR, DOTHAN, AL 363031928 (Tel: 3347935074)

👤

Provider Name / Credentials Updated December 16, 2009

Recorded as IVAN JACKSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2009

Internal Medicine (License #11508 in AL)

🟢

Initial NPI Registration & Enumeration May 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Ivan Jackson. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1205839362

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 23, 2005

Last Update: March 03, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

210 Westside Dr

Dothan, AL 363031928

Phone: 3347935074

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.