Scarley C Jackson

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

Practice address

1533 Alabama Ave SW
Birmingham, AL 35211-1831

Phone

(205) 203-3369

NPI assigned

Aug 19, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1003582982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 ALABAMA AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111831",
            "telephone_number": "205-203-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 ALABAMA AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111831",
            "telephone_number": "205-203-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SCARLEY",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B-106",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "endpointDescription": "birmingham",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1533 Alabama Ave SW",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352111831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rasheen Jackson, PHARM.D.
• Rebecca Leigh Jackson, PT
• Rekita Jackson, LPC
• Robert Jackson
• Sarah Jackson, MD
• Sean Jackson, NP-C
• Sheena Damita Jackson, NP-C
• Steven Darrell Jackson
• Stewart Allen Jackson, D.MIN.
• Valencia Denease Barnes Jackson, DDS

• Transportation Network Company in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Transportation Network Company in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.