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

Patrick Jackson

Individual provider Emergency Medicine Physician · NPI 1629414701

Patrick Jackson is an Emergency Medicine in Charlotte, North Carolina. Graduated from University of South Carolina School of Medicine in 2013, 13 years ago. Practices with Emergency Medicine Services of Fl LLC, a 665-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
13
Trained at
University of South Carolina School of Medicine
Licensed in
NC, SC
In the registry since
2013
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone: (704) 355-2171
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 101 E Wood St, Spartanburg, SC 29303-3040 — (864) 560-7025

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2016-00882 (NC)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 39300 (SC)

Record details

NPI number1629414701
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 16, 2013
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Emergency Medicine Services Of Fl Llc — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Charlotte