Victor Jackson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

13985 Issued in LA

Practice address

1115 Weber St
Franklin, LA 70538-4124

Phone

(337) 828-2550

Fax

(337) 355-2333

NPI assigned

Jun 9, 2006

Last updated

Mar 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Meharry Medical College School of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Teche Action Board IncGroup PAC ID 0648163980, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayou Bend Health System Hospital, Franklin, LA, CCN 191310

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Teche Action Board Inc

  dba Teche Health @ Franklin

  • Federally Qualified Health Center (FQHC)
  • Franklin, LA
  • NPI 1174579262
  Medicare reassignment Care Compare group NPD
• Teche Action Board Inc

  dba Teche Health @ Pierre Part

  • Federally Qualified Health Center (FQHC)
  • Pierre Part, LA
  • NPI 1972746964
  NPD
• Teche Action Board, Inc.

  dba Teche Health @ Sugarland

  • Federally Qualified Health Center (FQHC)
  • Houma, LA
  • NPI 1770308736
  NPD
• Teche Action Board Inc

  dba Teche Health @ Morgan City

  • Federally Qualified Health Center (FQHC)
  • Morgan City, LA
  • NPI 1124307566
  NPD (past)
• Teche Action Board, Inc.

  dba Teche Health @ Houma West

  • Federally Qualified Health Center (FQHC)
  • Houma, LA
  • NPI 1215974019
  NPD (past)
• Teche Action Board, Inc.

  dba Teche Health @ Thibodaux

  • Federally Qualified Health Center (FQHC)
  • Thibodaux, LA
  • NPI 1356767420
  NPD (past)
• Teche Action Board, Inc.

  dba Teche Health @ ST. James High School

  • Federally Qualified Health Center (FQHC)
  • Vacherie, LA
  • NPI 1649914763
  NPD (past)
• Teche Action Board, Inc.

  dba Teche Health @ Houma East

  • Federally Qualified Health Center (FQHC)
  • Houma, LA
  • NPI 1659319135
  NPD (past)
• Teche Action Board, Inc.

  dba Teche Health @ Gramercy

  • Federally Qualified Health Center (FQHC)
  • Gramercy, LA
  • NPI 1801433883
  NPD (past)
• Teche Action Board, Inc.

  dba Teche Health SBHC @ West St. Mary H.S

  • Federally Qualified Health Center (FQHC)
  • Baldwin, LA
  • NPI 1902082811
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Service District No. 1 of the Parish of St. Mary

  dba Bayou Bend Health System

  • Critical Access Hospital
  • Franklin, LA
  • NPI 1043218365
  Care Compare affiliation

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1114968351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WEBER ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705384124",
            "telephone_number": "337-828-2550",
            "fax_number": "337-355-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WEBER ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705384124",
            "telephone_number": "337-828-2550",
            "fax_number": "337-355-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "806 Jefferson Ter",
            "address_purpose": "LOCATION",
            "city": "New Iberia",
            "state": "LA",
            "postal_code": "70560",
            "country_code": "US",
            "telephone_number": "337-365-4945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 Surrey St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705016143",
            "country_code": "US",
            "telephone_number": "337-456-6768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 Charity St",
            "address_purpose": "LOCATION",
            "city": "Abbeville",
            "state": "LA",
            "postal_code": "705105302",
            "country_code": "US",
            "telephone_number": "337-893-3443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 Dernier St",
            "address_purpose": "LOCATION",
            "city": "Saint Martinville",
            "state": "LA",
            "postal_code": "705823809",
            "country_code": "US",
            "telephone_number": "337-342-2566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "13985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1172499",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaba Enterprises Inc
• Jaba Enterprises Inc
• Jaba Enterprises Inc
• Jaba Enterprises Inc
• Shonda Lafaye Jackson, NURSE PRACTITIONER
• Jana Gautreaux LLC
• Bchara Janadri, MD
• Jesus L. Chua MD a Professional Medical Corporation
• Sundee Johnson Thomas
• Courtney Johnson

• Internal Medicine Physician in Franklin, LA
• Providers in Franklin, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.