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

Dr. Charles Frederick Jackson III, MD

Individual provider Cardiovascular Disease Physician · NPI 1629252184

Dr. Charles Frederick Jackson III, MD is a Cardiovascular Disease (Cardiology) in Rome, Georgia. Graduated from Medical College of Georgia School of Medicine in 2005, 21 years ago. Practices with Adventist Health System Georgia Inc, a 244-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
21
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2007
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

591 Redmond Rd NW Ste 103
Rome, GA 30165-1415
Phone: (706) 368-8500
Fax: (706) 307-4613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 066188 (GA)

Record details

NPI number1629252184
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 19, 2007
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Adventist Health System Georgia Inc — 244 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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