NPIMap

Individual provider Active NPI

Jordan Aaron Jackson, M.D.

  • Family Medicine Physician
  • Midlothian, VA
National Provider Identifier
1205285160
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116029222 Issued in VA
Practice address
13901 Coalfield Commons PL Ste 201
Midlothian, VA 23114-1219
Phone
(804) 228-6729
NPI assigned
Jun 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116029222 VA Primary

Addresses

Primary practice location

13901 Coalfield Commons PL Ste 201
Midlothian, VA 23114-1219

Mailing address

13901 Coalfield Commons PL Ste 201
Midlothian, VA 23114-1219
Phone (804) 420-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191021000143 VA Practitioner - Family Practice 0941594196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partner MD PCGroup PAC ID 8022002617, 24 clinicians

Practice addresses (Care Compare)

13901 Coalfield Commons PL
Suite 201
Midlothian, VA 23114-1219
Phone (804) 420-1200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116029222VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Partner MD PC Family Medicine CurrentSince Apr 3, 2023 Accepting new patients

Locations

13901 Coalfield Commons Pl
Midlothian, VA 23114
Phone (804) 420-1200

13901 Coalfield Commons Pl
Ste 201
Midlothian, VA 23114
Phone (804) 420-1200

Interoperability endpoints

  • Direct secure messaging: jordan.jackson.1@2180.direct.athenahealth.com

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.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1205285160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 COALFIELD COMMONS PL STE 201",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231141219",
            "telephone_number": "804-420-1200",
            "fax_number": "804-420-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13901 COALFIELD COMMONS PL STE 201",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231141219",
            "telephone_number": "804-228-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JORDAN",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-10",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116029222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.