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Dr. Macey Elizabeth Jackson , DDS

Dentist β€’ Memphis, TN

Active NPI 1720839590 Individual Practitioner Female Practitioner
Practice location in NPPES

1045 Mullins Station Rd
Memphis, TN 381347723

Call 9012228500 Location details and other listings
Medical Disclaimer

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

Practice Address

1045 Mullins Station Rd

Memphis, TN 381347723

Telephone 9012228500
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in 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.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

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, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Memphis and Tennessee

153 active clinicians are listed under Dentist with a practice address in Memphis, TN (1,528 in Tennessee).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Memphis

0% of these 153 clinicians have the CMS telehealth indicator.

0% of these 153 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: 2025-11-17
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES TN 12549

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Tennessee Department of Health License Verification.
Look Up on State Board Site

Secondary Practice Locations

201 Poplar Ave

Memphis, TN 381031945

Phone: 9012224700

5336 Estate Office Dr Ste 1

Memphis, TN 381193623

Phone: 9016810408

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Ramika Jones , FNP

Nurse Practitioner - Family

NPI 1952630816

Family Nurse Practitioner

Latoria Ray , FNP

Nurse Practitioner - Family

NPI 1245820901

Family Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location November 17, 2025

Registered at 1045 MULLINS STATION RD, MEMPHIS, TN 381347723 (Tel: 9012228500)

πŸ“
Updated Business Mailing Address November 17, 2025

Registered at 7647 TRAILSIDE CIR APT 204, CORDOVA, TN 380181092 (Tel: 9012581054)

πŸ‘€
Provider Name / Credentials Updated November 17, 2025

Recorded as MACEY JACKSON, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2025

Dentist (license number reported to NPPES: TN 12549)

βœ…
NPI Profile Active March 29, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 29, 2024

Registered at 4800 LAKEWOOD RANCH BLVD, BRADENTON, FL 342114953 (Tel: 9414051600)

πŸ“
Business Mailing Address (Initial Record) March 29, 2024

Registered at 520 RIVEREDGE DR W, CORDOVA, TN 380187653 (Tel: 9012581054)

πŸ‘€
Provider Name / Credentials (Initial Record) March 29, 2024

Recorded as MACEY DARNALL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 29, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1720839590
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2024
Last Update: November 17, 2025
Sole Proprietor: Yes

Other Dentists in Memphis

All Dentists in Memphis

Mailing Address

7647 Trailside Cir Apt 204

Cordova, TN 380181092

Phone: 9012581054

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.