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

Dr. Emanuel Mason Jackson, MD

Individual provider Emergency Medicine Physician · NPI 1093399115

Dr. Emanuel Mason Jackson, MD is an Emergency Medicine in Charlotte, North Carolina. Graduated from University of South Carolina School of Medicine in 2021, 5 years ago. Practices with Emergency Medicine Physicians of Craven County PLLC, a 17-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
5
Trained at
University of South Carolina School of Medicine
Licensed in
NC, SC
In the registry since
2021
Specialties on file
2
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

1000 Blythe Blvd
Charlotte, NC 28203-5871
Phone: (704) 381-6803
Fax: (704) 355-8356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 — (910) 450-4840

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 92122 (SC)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2025-02424 (NC)

Record details

NPI number1093399115
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2021
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Emergency Medicine Physicians Of Craven County Pllc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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