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

Mia Leigh Jackson, MD

Individual provider Diagnostic Radiology Physician · NPI 1861679870

Mia Leigh Jackson, MD is a Diagnostic Radiology in St Petersburg, Florida. Graduated from Emory University School of Medicine in 2005, 21 years ago. Practices with Radiology Imaging Associates LLC, a 181-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
21
Trained at
Emory University School of Medicine
Licensed in
FL, GA
In the registry since
2008
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

2191 9th Ave N Ste 120
St Petersburg, FL 33713-7147
Phone: (727) 954-6519
Fax: (727) 954-6524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME109939 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 002024 (GA)

Record details

NPI number1861679870
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 22, 2008
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Radiology Imaging Associates Llc — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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