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

Calvin R Jackson

Individual provider Internal Medicine Physician · NPI 1740398338

Calvin R Jackson is an Internal Medicine in Augusta, Georgia. Graduated from Medical University of South Carolina College of Medicine in 1987, 39 years ago. Practices with Beulah Grove Community Resource Center, a 4-clinician group and accepts Medicare assignment. Licensed in Georgia and South Carolina.

Years since qualifying
39
Trained at
Medical University of South Carolina College of Medicine
Licensed in
GA, SC
In the registry since
2006
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2123 Wrightsboro Rd
Augusta, GA 30904-4777
Phone: (706) 736-5244
Fax: (706) 736-5246
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 031265 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 16449 (SC)

Record details

NPI number1740398338
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 25, 2006
Last updated in NPPESMarch 28, 2008
Mailing address2123 Wrightsboro Rd, Augusta, GA 30904-4777

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Beulah Grove Community Resource Center — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Augusta