Dr Joe a Jackson, MD PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

85613 Issued in FL

Legal business name

DR JOE A JACKSON, MD PLLC

Practice address

224 E Garden St
Suite 5B Box J16
Pensacola, FL 32502-6068

Phone

(850) 469-1330

Fax

(850) 469-1554

NPI assigned

Oct 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Joe A Jackson, MD

Title

Owner

Phone

(850) 469-1330

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1114398427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 E GARDEN ST",
            "address_2": "SUITE 5B BOX J16",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325026068",
            "telephone_number": "850-469-1330",
            "fax_number": "850-469-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E GARDEN ST",
            "address_2": "SUITE 5B BOX J16",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325026068",
            "telephone_number": "850-469-1330",
            "fax_number": "850-469-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOE A JACKSON, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-469-1330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "85613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00013024",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Brian Brennan DC PA
• Dr Bryan Boerjan Chiropractic PLLC
• Dr C Vision Care PLLC
• Dr F Donald Colley Optometrist P a
• Dr Francis X. Albert, OD, PA
• Dr Mark Isenberg PA
• Dr Vicki Lee LLC
• Dr. Edwin Brooks Roberts LLC (Aligned Spine)
• Dr. Edwin Roberts Chiropractic, PLC
• Dr. Frank Watson, D.C., LLC (FIT Chiropractic Acupuncture)

• Neurology Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.