Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony W Jackson Sr., MD

Individual provider Otolaryngology Physician · NPI 1700987062

Anthony W Jackson Sr., MD is an Otolaryngology in Elizabeth City, North Carolina. Qualified in 1982, 44 years ago. Practices with Outer Banks Professional Services, LLC, a 162-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
44
Licensed in
NC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

105 Medical Dr
Elizabeth City, NC 27909-3361
Phone: (252) 337-7409
Fax: (252) 337-7410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 2007-00605 (NC)

Record details

NPI number1700987062
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 26, 2006
Last updated in NPPESJanuary 7, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Outer Banks Professional Services, Llc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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