Philip C Jackson Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L7426 Issued in TX

Practice address

1301 W 38TH St #205
Austin, TX 78705-1011

Phone

(512) 324-1864

Fax

(512) 419-9016

NPI assigned

Jul 31, 2006

Last updated

Aug 14, 2020By 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 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Internal MedicineAlso: Hospitalist

Education

University of New Mexico School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jason Martin Medical Consulting LLCGroup PAC ID 8325289812, 51 clinicians

Hospitalist Concepts Consulting, LLCGroup PAC ID 8729179809, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Hospice Hospice, Austin, TX, CCN 741638
• Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056
• North Austin Medical Center Hospital, Austin, TX, CCN 450809
• St David's Medical Center Hospital, Austin, TX, CCN 450431
• Brookdale Westlake Hills Nursing home, Austin, TX, CCN 455866

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Eh Home Health of Austin, LLC

  dba Enhabit Hospice

  • Community Based Hospice Care Agency
  • Austin, TX
  • NPI 1669857751

  Contracted Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospitalist Concepts Consulting, LLC

  • Hospitalist Physician
  • West Lake Hills, TX
  • NPI 1891842258
  Medicare reassignment Care Compare group NPD
• Jason Martin Medical Consulting LLC

  • General Practice Physician
  • Austin, TX
  • NPI 1851736243
  Medicare reassignment Care Compare group NPD
• Aco Jason Martin Medical Consulting

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1881578961
  Medicare reassignment NPD
• Seton Family of Doctors

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1588997233

  Internal Medicine

  Medicare reassignment NPD
• Seton Family of Doctors

  dba Ascension Texas Imaging

  • Radiology Clinic/Center
  • Austin, TX
  • NPI 1275290694
  NPD
• Austin Integrative Spine, PLLC

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1659919546
  NPD (past)
• Austin Regional Clinic, PA

  dba ARC - Medical Park Tower Ortho

  • Durable Medical Equipment & Medical Supplies
  • Austin, TX
  • NPI 1659691624
  NPD (past)

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

• Ascension Seton

  dba Ascension Seton Medical Center Austin

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1164526786
  Care Compare affiliation
• Eh Home Health of Austin, LLC

  dba Enhabit Hospice

  • Community Based Hospice Care Agency
  • Austin, TX
  • NPI 1669857751
  Care Compare affiliation
• Fort Austin Limited Partnership

  dba Brookdale Westlake Hills

  • Skilled Nursing Facility
  • Austin, TX
  • NPI 1992763080

  Nursing home

  Care Compare affiliation
• St Davids Healthcare Partnership LP LLP

  dba North Austin Medical Center

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1629021845
  Care Compare affiliation
• St. Davids Healthcare Partnership, L.P., LLP

  dba Heart Hospital of Austin

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1720033947
  Care Compare affiliation

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1306852678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26726",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787550726",
            "telephone_number": "512-407-8686",
            "fax_number": "512-406-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 38TH ST #205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051011",
            "telephone_number": "512-324-1864",
            "fax_number": "512-419-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "PHILIP",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7426",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "L7426",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159860901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159860902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159860903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159860904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mia Nicole Jackson
• Miriam M Jackson, PNP
• Nekiya Jackson
• Oscar B Jackson Jr., M.D.
• Periz Monique Jackson, COTA
• Rachel Jackson, FNP-C
• Remigius Jackson, DDS
• Robert M Jackson, MD
• Rochelle Jackson, R.T R. CT. ARRT
• Sarah Jane Jackson, PHD

• Internal Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.