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

Dr. Tracy P Jackson, MD

Individual provider Pain Medicine (Anesthesiology) Physician · NPI 1154436590

Dr. Tracy P Jackson, MD is a Pain Management in Walnut Creek, California. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2000, 26 years ago. Practices with Spine and Sports Specialities Medical Group, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, North Carolina and Tennessee.

Years since qualifying
26
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
CA, NC, TN
In the registry since
2006
Specialties on file
6
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

2960 Camino Diablo Ste 105
Walnut Creek, CA 94597-3945
Phone: (800) 892-2695
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 42636 (TN)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence A97159 (CA)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 200300358 (NC)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X · Licence 42636 (TN)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X · Licence A97159 (CA)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X · Licence 200300358 (NC)

Record details

NPI number1154436590
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Spine And Sports Specialities Medical Group — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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