Alfred Vaughn Derise Jackson, MD
Family Medicine Physician · Knoxville, TN
Alfred Vaughn Derise Jackson, MD is a family medicine physician with a practice address in Knoxville, Tennessee, and NPI 1609189695, issued on Jul 19, 2010. Check the license (Tennessee 50821, as entered in NPPES) on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Alfred Vaughn Derise Jackson
- Credential
- MD
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 50821 TN
Self-reported in NPPES; status is on the state search - Practice location
- 930 Adell Ree Park LN, Knoxville, TN 37909
- Phone
- (865) 769-2600
- Enumerated
- Jul 19, 2010
- Record last updated
- Mar 23, 2023
- Medicare enrollment
- Enrolled (PECOS I20240605003132); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 2,674 in Tennessee → Look up another NPI →
Also registered at 930 Adell Ree Park LN
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Alfred Vaughn Derise Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTennessee Board of Medical Examiners
Search for license 50821Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
45% fewer Medicare Part D claims than the average family medicine physician in 2024
1,937 Medicare Part D claims for 97 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 17% of claims.
Most prescribed
- Levothyroxine Sodium86 claims
- Omeprazole85 claims
- Gabapentin76 claims
- Lisinopril64 claims
- Atorvastatin Calcium59 claims
- Tizanidine Hcl58 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $557.07
30 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Emergency Coverage LLCTazewell, TN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Alfred Vaughn Derise Jackson among 2,674 family medicine physician records in Tennessee
Alfred Vaughn Derise Jackson, MD is one of 2,674 family medicine physician records with a practice address in Tennessee. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 66% of them.
- NPI issued2010 · 66% of these records are older, 32% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated2010 · median 2004 among the 1,685 with a school on file
- Record last updated2023 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
244 family medicine physician records list a practice address in Knoxville
They are 244 of the 14,339 NPPES records with a practice address in Knoxville, and 2,674 family medicine physician records in Tennessee.
All 2,674 in Tennessee → Every provider in Knoxville → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- William Burkhart, MDKnoxville, TN 379091700820123
- John Burkhart, MDKnoxville, TN 379091447295688
- Ann Carter, MDKnoxville, TN 379091417946674
- James Hicks, M.D.Knoxville, TN 379091023061397
- Vali Khairollahi, MDKnoxville, TN 379091982633731
- Jeffrey McMichael, M.D.Knoxville, TN 379091548213895
- Stephen Meisenheimer, MDKnoxville, TN 379091982649240
- Ronald Murff, M.D.Knoxville, TN 379091053362939
Common questions
What is Alfred Vaughn Derise Jackson, MD's NPI number?
Alfred Vaughn Derise Jackson, MD's National Provider Identifier (NPI) is 1609189695, issued on Jul 19, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Alfred Vaughn Derise Jackson, MD located?
The NPPES record lists a practice address at 930 Adell Ree Park LN, Knoxville, TN, 37909. Phone: (865) 769-2600. Providers update this record themselves, so call before visiting.
How can I verify Alfred Vaughn Derise Jackson, MD's license?
NPPES lists Tennessee license number 50821, as entered by the provider. Search the Tennessee Board of Medical Examiners at https://www.tn.gov/health/licensure/me.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Alfred Vaughn Derise Jackson, MD prescribe under Medicare Part D?
In 2024, Alfred Vaughn Derise Jackson, MD had 1,937 Medicare Part D claims for 97 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.