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

Edwin Jackson, MD

Individual provider Psychiatry Physician · NPI 1740294883

Edwin Jackson, MD is a Psychiatry in St Petersburg, Florida. Graduated from University of Tennessee, Hsc, College of Medicine in 1999, 27 years ago. Practices with Baycare Behavioral Health Inc, a 59-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
27
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
FL
In the registry since
2006
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

4010 Central Ave
St Petersburg, FL 33711-1239
Phone: (727) 327-7656
Fax: (727) 388-1192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME 87406 (FL)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence ME 87406 (FL)

Record details

NPI number1740294883
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESOctober 10, 2011

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Baycare Behavioral Health Inc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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