Active NPI 1679000814 Individual Practitioner Female Practitioner

Dominique Mechelle Jackson

Nurse Practitioner • Jackson, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dominique Jackson is a certified Nurse Practitioner practicing in Jackson, MS. With approximately 18 years of clinical experience since completing medical education in 2008, Dominique Jackson delivers high-quality medical care to the local community at 766B LAKELAND DR.

Dominique Jackson is affiliated with Garvey Wellness Clinic, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, injections of trigger points in 1 or 2 muscles. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

766b Lakeland Dr

Jackson, MS 392164610

Telephone 6019822916

Fax 6013662916

Associated Practice Facility / Clinic

🏢 Garvey Wellness Clinic, Inc. Facility NPI 1659774701

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jackson, MS

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs +4.6 yrs vs City Avg

City Avg: 13.4 Yrs

State Avg: 11.5 Yrs

Regional Practice Density

169 Specialists

Practicing in Jackson, MS (1098 Statewide)

Telehealth Adoption Rate

5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

33.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (18 Years) 18 Yrs

Jackson Specialty Average (13.4 Years) 13.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes	24	12	$115.00	$67.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$182.00	$129.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$182.00	$129.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20552 Injections of trigger points in 1 or 2 muscles	32	12	$120.03	$41.63
99213 Established patient office or other outpatient visit, typically 15 minutes	28	13	$115.00	$70.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$182.00	$127.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$374.00	$141.00
99213 Established patient office or other outpatient visit, typically 15 minutes	53	49	$163.00	$63.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	16	$243.00	$92.68
72100 X-ray of lower and sacral spine, 2-3 views	21	21	$80.86	$31.54
72040 X-ray of upper spine, 2-3 views	11	11	$77.64	$31.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$374.00	$139.24
99213 Established patient office or other outpatient visit, typically 15 minutes	76	65	$163.00	$62.27
73560 X-ray of knee, 1-2 views	28	26	$603.50	$38.02
72100 X-ray of lower and sacral spine, 2-3 views	24	24	$81.13	$30.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$243.00	$91.29

Medical Specialties & State Licenses

CMS Verified: 2021-04-20

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MS 901975

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Garvey Wellness Clinic, Inc

766 Lakeland Dr, Jackson, MS 392164610

Phone: 6019822916

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Victoria Shearer , DC

Chiropractor

NPI 1235587437

Doctor of Chiropractic

Dr. Daniel Garvey , DC

Chiropractor

NPI 1316030166

Doctor of Chiropractic

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location April 20, 2021

Registered at 766B LAKELAND DR, JACKSON, MS 392164610 (Tel: 6019822916)

📍

Updated Business Mailing Address April 20, 2021

Registered at 766B LAKELAND DR, JACKSON, MS 392164610 (Tel: 6019822916)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2021

Nurse Practitioner (License #901975 in MS)

✅

NPI Profile Active May 18, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 18, 2017

Registered at 2309 E 15TH ST, PANAMA CITY, FL 324056345 (Tel: 8507475599)

📍

Updated Business Mailing Address May 18, 2017

Registered at 403 E 11TH ST, PANAMA CITY, FL 324013409 (Tel: 8507475599)

👤

Provider Name / Credentials Updated May 18, 2017

Recorded as DOMINIQUE JACKSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2017

Nurse Practitioner (License #ARNP9352555 in FL)

🟢

Initial NPI Registration & Enumeration May 18, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679000814

Entity Type:

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

Enumeration Date: May 18, 2017

Last Update: April 20, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

766b Lakeland Dr

Jackson, MS 392164610

Phone: 6019822916

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.