Deactivated NPI 1699749903 Deactivated / Inactive NPI Male Practitioner

Dr. Bryan Scott Jackson , MD

Surgery • Memphis, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bryan Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 14, 2006

NPI Deactivation Date November 13, 2020

Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Bryan Jackson, MD was a registered Surgery practicing in Memphis, TN. Throughout an active medical career spanning 14 years, Dr. Jackson provided care at the practice location at 1325 EASTMORELAND AVE until profile deactivation on 2020-11-13.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, new patient outpatient office visit, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1325 Eastmoreland Ave
Suite 410

Memphis, TN 381043519

Telephone 9017251921

Fax 9017254119

Associated Practice Facility / Clinic

🏢 Memphis Cardiac Care Center, Pllc Facility NPI 1053362749

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Memphis, TN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.8 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

75 Specialists

Practicing in Memphis, TN (682 Statewide)

Telehealth Adoption Rate

1.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	90	40	$230.00	$70.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$250.00	$99.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	23	$100.00	$41.14
99213 Established patient office or other outpatient visit, typically 15 minutes	17	13	$125.00	$71.11
31600 Opening of windpipe through neck for insertion of breathing tube	16	16	$1300.00	$295.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	162	62	$230.00	$62.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$250.00	$98.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	28	$100.00	$42.28
31600 Opening of windpipe through neck for insertion of breathing tube	15	15	$1300.00	$258.29
99213 Established patient office or other outpatient visit, typically 15 minutes	15	12	$125.00	$70.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$400.00	$148.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	169	73	$230.00	$69.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$250.00	$97.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	25	$100.00	$40.77
31600 Opening of windpipe through neck for insertion of breathing tube	28	28	$1300.00	$296.09
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$125.00	$63.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$400.00	$146.25
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$275.00	$17.85
47562 Removal of gallbladder using an endoscope	12	12	$2060.00	$610.74
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1300.00	$320.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	246	114	$230.00	$65.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	36	$100.00	$40.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$250.00	$98.79
99213 Established patient office or other outpatient visit, typically 15 minutes	36	32	$125.00	$66.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$400.00	$147.16
47562 Removal of gallbladder using an endoscope	24	24	$2060.00	$566.63
31600 Opening of windpipe through neck for insertion of breathing tube	20	20	$1300.00	$353.10
49324 Insertion of abdominal cavity catheter using an endoscope	16	15	$1300.00	$322.99
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$275.00	$18.11
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$1300.00	$320.61

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TN 0000038745

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

34 Associated Practitioners

Dr. Khawaja Muddassir , MD

Internal Medicine - Pulmonary Disease

NPI 1003043043

Doctor of Medicine (M.D.)

Dr. Martin Acree , MD

Family Medicine

NPI 1043217060

Doctor of Medicine (M.D.)

Dr. Artangela Henry , DNP, FNP-C

Nurse Practitioner - Adult Health

NPI 1043455561

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Dr. Michelle Kitson , MD

Internal Medicine

NPI 1104141472

Doctor of Medicine (M.D.)

Carla Slayden , FNP

Nurse Practitioner - Family

NPI 1144420829

Family Nurse Practitioner

Dr. Nia Zalamea , MD

Surgery

NPI 1144459645

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

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NPI Profile Deactivated November 13, 2020

Record deactivated on November 13, 2020

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NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1325 EASTMORELAND AVE, SUITE 410, MEMPHIS, TN 381043519 (Tel: 9017251921)

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Updated Business Mailing Address July 08, 2007

Registered at 1325 EASTMORELAND AVE, SUITE 410, MEMPHIS, TN 381043519 (Tel: 9017251921)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BRYAN JACKSON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #0000038745 in TN)

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Initial NPI Registration & Enumeration February 14, 2006

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: 1699749903

Entity Type:

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

Enumeration Date: February 14, 2006

Last Update: July 08, 2007

Deactivation Date: November 13, 2020

Update or Correct Profile

Mailing Address

1325 Eastmoreland Ave, Suite 410

Memphis, TN 381043519

Phone: 9017251921

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.