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

Dr. Micaiah Jackson, DPT

Individual provider Physical Therapist · NPI 1851119556

Dr. Micaiah Jackson, DPT is a Physical Therapist in Private Practice in Goldsboro, North Carolina. Qualified in 2024, 2 years ago. Practices with Goldsboro Physical Therapy and Wellness, a 7-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2503 Wayne Memorial Dr
Goldsboro, NC 27534-9401
Phone: (919) 734-1311
Fax: (919) 734-8816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P23534 (NC)

Record details

NPI number1851119556
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 1, 2024
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Goldsboro Physical Therapy And Wellness — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Goldsboro