Tyler Joshua Jackson

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

220733 Issued in AR

Practice address

7800 Dallas St
Fort Smith, AR 72903-4278

Phone

(479) 314-4940

NPI assigned

Jul 21, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1205756970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 TAYLOR DR",
            "city": "ROLAND",
            "state": "OK",
            "postal_code": "749547015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 DALLAS ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034278",
            "telephone_number": "479-314-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TYLER",
        "middle_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "220733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janissa D Jackson, PHD
• Jennifer Jackson, RDS, CIT
• McKenzie Alexandra Jackson, MD
• Michael Jackson, QBHP
• Robin Jackson, LAC
• Curtsie Jacobs
• Jacqueline Goldsmith Phillips PLLC
• Jouma Jalou
• James B. Saviers D.D.S., P.a.
• James L. Hiatt, DDS, PLLC

• Family Medicine Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.