Active NPI
Aja Jackson Devose, D.O.
- Family Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OTO14993
- Practice address
- 220 W Chelten Ave
Philadelphia, PA 19144-3803 - Phone
- (215) 310-7022
- NPI assigned
- Feb 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OTO14993 | PA | Primary |
Addresses
Primary practice location
220 W Chelten Ave
Philadelphia, PA 19144-3803
Mailing address
PO Box 746722
Atlanta, GA 30374-6722
Phone (312) 733-9730
Other practice location 1
5901 Market St
Philadelphia, PA 19139-3117
Phone (215) 528-5600
Other practice location 2
2401 W Cheltenham Ave
Wyncote, PA 19095-2946
Phone (215) 444-7471
Other names 1
- Aja Jackson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aja.jackson.1@16196.direct.athenahealth.com | Direct | Mercy Management of Southeastern Pennsylvani |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2401 W Cheltenham Ave
Wyncote, PA 19095-2946
Phone (312) 600-8484
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTO14993 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh - PA Physicians Group, PC | Family Medicine | Current | Accepting new patients |
Locations
3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484
220 W Chelten Ave
Philadelphia, PA 19144
Phone (215) 310-7022
2401 W Cheltenham Ave
Wyncote, PA 19095
Phone (215) 444-7471
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Philadelphia, PA
- NPI 1811405533
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1174863054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746722",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746722",
"telephone_number": "312-733-9730",
"fax_number": "773-866-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 W CHELTEN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191443803",
"telephone_number": "215-310-7022"
}
],
"practiceLocations": [
{
"address_1": "5901 Market St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191393117",
"country_code": "US",
"telephone_number": "215-528-5600",
"fax_number": "215-528-5700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2401 W Cheltenham Ave",
"address_purpose": "LOCATION",
"city": "Wyncote",
"state": "PA",
"postal_code": "190952946",
"country_code": "US",
"telephone_number": "215-444-7471",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON DEVOSE",
"first_name": "AJA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-28",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OTO14993",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aja.jackson.1@16196.direct.athenahealth.com",
"affiliation": "Y",
"endpointDescription": "Mercy Management of Southeastern Pennsylvania Direct Email Address",
"affiliationName": "Mercy Management of Southeastern Pennsylvani",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "5901 Market St",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191393117",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AJA",
"last_name": "JACKSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.