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

Dr. Thomas James Jackson, MD

Individual provider Internal Medicine Physician · NPI 1528262698

Dr. Thomas James Jackson, MD is an Internal Medicine in Sullivan, Missouri. Graduated from University of Missouri, Kansas City, School of Medicine in 2005, 21 years ago. Practices with Missouri Baptist Hospital of Sullivan, a 40-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
21
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
MO
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

965 Mattox Dr
Sullivan, MO 63080-2365
Phone: (573) 860-6000
Fax: (573) 860-6016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2009020182 (MO)

Record details

NPI number1528262698
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2007
Last updated in NPPESMay 13, 2021
Certification dateMay 13, 2021
Mailing address965 Mattox Dr, Sullivan, MO 63080-2365

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Missouri Baptist Hospital Of Sullivan — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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