Richard Morgan Jackson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

79540 Issued in GA

Practice address

1307 3Rd Ave
Fort Knox, KY 40121-2725

Phone

(520) 672-1911

NPI assigned

Sep 1, 2016

Last updated

Apr 17, 2026By the provider in NPPES

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

Enrolled in GA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1285180877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 3RD AVE",
            "city": "FORT KNOX",
            "state": "KY",
            "postal_code": "401212725",
            "telephone_number": "520-672-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 3RD AVE",
            "city": "FORT KNOX",
            "state": "KY",
            "postal_code": "401212725",
            "telephone_number": "520-672-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "RICHARD",
        "middle_name": "MORGAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "79540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ireland Army Community Hospital (Usadc Ft. Knox Jordan)
• Ireland Army Community Hospital (Usadc Ft. Knox Ireland Ach)
• Ireland Army Community Hospital (Nelson Medical Clinic)
• Ireland Army Community Hospital (TMC 5-Ft Knox)
• Ireland Army Community Hospital
• Pragna R Jadav, MD
• Cree James
• Shelley James, CNM
• Joanne R Jansen, PHARMD, BCACP
• Dana Ona Jenkinson, APRN, NP-C

• Family Medicine Physician in Fort Knox, KY
• Providers in Fort Knox, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.