Individual provider Active NPI

Ashley Elizabeth Jackson, MD

  • Internal Medicine Physician
  • Cottonwood, AL
National Provider Identifier
1205271392
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33911 Issued in AL
Practice address
13000 Cottonwood Rd
Cottonwood, AL 36320-4280
Phone
(334) 470-4820
NPI assigned
May 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 33911 AL
Internal Medicine Physician 207R00000X 33911 AL Primary

Addresses

Primary practice location

13000 Cottonwood Rd
Cottonwood, AL 36320-4280

Mailing address

232 Lakewood Dr
Enterprise, AL 36330-8210
Phone (334) 470-4820

Other practice location 1

232 Lakewood Dr
Enterprise, AL 36330-8210
Phone (334) 470-4820

Other names 1

  • Dr. Ashley E. Jackson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181214002499 AL Practitioner - Internal Medicine 9638305600 Reassigns benefits to 2 organizations
I20240723002561 NH Practitioner - Internal Medicine 9638305600 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33911ALMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group New Hampshire PC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
American Family Care, LLC CurrentSince Oct 20, 2018 Accepting new patients
Houston County Healthcare Authority Internal Medicine Current Accepting new patients
American Family Care, LLC CurrentSince Oct 20, 2018 Accepting new patients
Houston County Healthcare Authority Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
DCH Provider Services, LLC Hospitalist Past Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

5410 Highway 280
Ste 100
Hoover, AL 35242
Phone (205) 201-7290

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

1652 Montclair Rd
Irondale, AL 35210
Phone (205) 263-8623

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1205271392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 LAKEWOOD DR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363308210",
            "telephone_number": "334-470-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 COTTONWOOD RD",
            "city": "COTTONWOOD",
            "state": "AL",
            "postal_code": "363204280",
            "telephone_number": "334-470-4820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232 Lakewood Dr",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "AL",
            "postal_code": "363308210",
            "country_code": "US",
            "telephone_number": "334-470-4820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AL",
            "license": "33911",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "33911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "JACKSON",
            "middle_name": "E.",
            "prefix": "DR.",
            "credential": "MD, MS, MBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cottonwood, AL

Sources for this page

Verify at the official NPI Registry.