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

Casey Gordon Jackson, MD

Individual provider Internal Medicine Physician · NPI 1104834555

Casey Gordon Jackson, MD is an Internal Medicine in Memphis, Tennessee. Graduated from Georgetown University School of Medicine in 2003, 23 years ago. Practices with Peninsula Hospitalist Associates Inc, a 37-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
23
Trained at
Georgetown University School of Medicine
Licensed in
TN
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

4095 American Way
Memphis, TN 38118-8339
Phone: (901) 515-5000
Fax: (901) 375-0982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 41430 (TN)

Record details

NPI number1104834555
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 3, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Peninsula Hospitalist Associates Inc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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