Active NPI
Jackson Vaughan Littlejohn, MD
- Student in an Organized Health Care Education/Training Program
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3301 Matlock Rd
Arlington, TX 76015-2908 - Phone
- (817) 347-1141
- NPI assigned
- Mar 21, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | U8765 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3301 Matlock Rd
Arlington, TX 76015-2908
Mailing address
3301 Matlock Rd
Arlington, TX 76015-2908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Texas Tech University Health Science Center School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12412 Judson Rd
Live Oak, TX 78233-3255
Phone (210) 757-7000
Hospital & facility affiliations
- Methodist Hospital
- Methodist Hospital Stone Oak
- Methodist Stone Oak Hospital
- Methodist Hospital Northeast
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U8765 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine Services of TX, PLLC | Current | Accepting new patients | |
| Emergency Medicine Services of TX, PLLC | Current | Accepting new patients | |
| Methodist Healthcare System of San Antonio, LTD., L.L.P. | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400
12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444
12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700
Interoperability endpoints
- jackson.littlejohn@hca7.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1881392363
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1245938729
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1659525236
-
- Rehabilitation Hospital Unit
- San Antonio, TX
- NPI 1003328113
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- Rehabilitation Hospital Unit
- San Antonio, TX
- NPI 1134166069
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734998400000",
"number": "1124604152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 MATLOCK RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760152908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 MATLOCK RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760152908",
"telephone_number": "817-347-1141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLEJOHN",
"first_name": "JACKSON",
"middle_name": "VAUGHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-21",
"last_updated": "2024-12-24",
"certification_date": "2024-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "U8765",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.