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

Dr. Michael Ray Jackson, MD

Individual provider Family Medicine Physician · NPI 1053467902

Dr. Michael Ray Jackson, MD is a Family Practice in Rockwall, Texas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1993, 33 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Oklahoma and Texas.

Years since qualifying
33
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
OK, TX
In the registry since
2007
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

103 N First St
Rockwall, TX 75087-3033
Phone: (972) 771-5366
Fax: (972) 771-0424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence N0853 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence 19730 (OK)

Record details

NPI number1053467902
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 25, 2007
Last updated in NPPESSeptember 12, 2012

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Rockwall