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

Dr. Michael Ray Jackson, MD

Individual provider Family Medicine Physician · NPI 1053467902

Dr. Michael Ray Jackson, MD is a Family Practice in Rockwall, Texas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1993, 33 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Oklahoma and Texas.

Years since qualifying
33
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
OK, TX
In the registry since
2007
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

103 N First St
Rockwall, TX 75087-3033
Phone: (972) 771-5366
Fax: (972) 771-0424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence N0853 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence 19730 (OK)

Record details

NPI number1053467902
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 25, 2007
Last updated in NPPESSeptember 12, 2012
Mailing address103 N First St, Rockwall, TX 75087-3033

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Rockwall