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

Dr. Edward Robert Jackson II, MD

Individual provider Orthopaedic Surgery Physician · NPI 1710129408

Dr. Edward Robert Jackson II, MD is an Orthopedic Surgery in Tallahassee, Florida. Graduated from University of South Carolina School of Medicine in 2004, 22 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Florida, Georgia and Texas.

Years since qualifying
22
Trained at
University of South Carolina School of Medicine
Licensed in
FL, GA, TX
In the registry since
2009
Specialties on file
4
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

3334 Capital Medical Blvd #400
Tallahassee, FL 32308-4470
Phone: (850) 877-8174
Fax: (850) 877-5636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 63075 (GA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence BP10016960 (TX)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence ME107624 (FL)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 063075 (GA)

Record details

NPI number1710129408
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2009
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 2022
Mailing address3334 Capital Medical Blvd #400, Tallahassee, FL 32308-4470

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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