Jordan Van Jackson, DO

Infectious Disease · Internal Medicine (CMS) · Sun City Center, FL

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At a glance

4016 Sun City Center Blvd, Sun City Center, FL 33573-5256

Published activity: Removal of tissue. View counts and coverage

NPPES record updated Aug 8, 2025. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Medicare & insurance

Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.

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Practice location

4016 Sun City Center Blvd
Sun City Center, FL 33573-5256

Additional reported practice locations

119 Oakfield Dr
Brandon, FL 335115779
Phone: 8136815551
Fax: 8139162944
3909 Galen Ct Ste 103
Sun City Center, FL 335736824
Phone: 7277874379
REPORTED BACKGROUND

Education & affiliations

Medical / professional school
Lincoln Memorial University Medical Department
Graduation year
2019
CMS specialties
Infectious Disease · Internal Medicine

Practice groups

Reported hospital affiliations

Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.

Source: CMS National Downloadable File · Published Oct 15, 2026.

Source: CMS Facility Affiliation Data · Published Oct 15, 2026.

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PUBLISHED MEDICARE ACTIVITY

Procedures in the public data

Reported activity can help you ask more informed questions about a practice’s services.

Procedure categoryPublished Medicare activity
Removal of tissue72

CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology

Source: CMS Utilization Data · Published Oct 15, 2026.

Find providers with a similar service mix

Compare 2024 published Medicare activity in the same reported specialty, here or in another city.

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PAYMENT TRANSPARENCY

Industry-reported general payments

$1,804.47General payments · 2025
11Reported transactions
4Reporting companies

Includes reported transfers of value, such as meals, travel, or consulting. Payments do not establish improper conduct or quality of care. Research funding and ownership values are excluded from this total.

See payment purposes and reporting companies

Reported purposes

PurposeAmount
Travel and lodging$1,216.60
Food and beverage$587.87

Reporting companies

CompanyAmount
CONVATEC INC.$1,734.27
ABBVIE INC.$29.01
INSMED, INC.$20.70
MERCK SHARP & DOHME LLC$20.49
View official Open Payments profile ↗

Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.

Professional details: NPI, taxonomy & registry record
NPI1225598865
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Registry details

Primary taxonomy
Infectious Disease · Internal Medicine (CMS)
Taxonomy code
207RI0200X
Enumeration date
Mar 20, 2019
Record updated
Aug 8, 2025
More registry details
Provider type
Individual · Type 1
Reported credentials
DO

Reported taxonomies and licenses

Internal Medicine

207R00000X

License reported: OS20918 FL

Specialty details in registry

390200000X

Specialty details in registry

207RI0200X · Primary

License reported: OS20918 FL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4016 Sun City Center Blvd
Sun City Center, FL 33573-5256
Phone
(813) 634-3301
Mailing address
10762 PLEASANT KNOLL DR

TAMPA, FL 336473667
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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