Scott Christian Jackson
Dentist - General Practice β’ Memphis, TN
5180 Park Ave Ste 210
Memphis, TN 381193530
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
5180 Park Ave Ste 210
Memphis, TN 381193530
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Germantown, TN; Memphis, TN. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019β2025.
NPI first issued
2022
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Memphis and Tennessee
212 active clinicians are listed under Dentist - General Practice with a practice address in Memphis, TN (2,027 in Tennessee).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Memphis
0% of these 212 clinicians have the CMS telehealth indicator.
0% of these 212 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-02-06NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Secondary Practice Locations
875 Union Ave Ste C211
Memphis, TN 381033513
Phone: 9014486930
2059 S Houston Levee Rd Ste 126
Germantown, TN 381396970
Phone: 9014250444
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Dentist - General Practice
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 5180 PARK AVE STE 210, MEMPHIS, TN 381193530 (Tel: 9017630850)
Registered at 2059 S HOUSTON LEVEE RD STE 126, GERMANTOWN, TN 381396970 (Tel: 9014250444)
NPI status registered as active in NPPES database
Registered at 875 UNION AVE STE C211, MEMPHIS, TN 381033513 (Tel: 9014486930)
Registered at 17649 ROCKWOOD ARBOR DR, EUREKA, MO 630254035 (Tel: 6362363714)
Recorded as SCOTT JACKSON
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Dentist - General Practices in Memphis
- Dr. Dan Eason, DDS
- Dr. James Avery, DDS
- Dr. Toya Dawson, DDS
- Dr. Howard Glenn, DMD
- Dr. Delois Roberson, DDS
- Dr. Jerry Midyett, DDS
Mailing Address
17649 Rockwood Arbor Dr
Eureka, MO 630254035
Phone: 6362363714