Individual provider Active NPI

Christopher Jackson, MD

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1316300866
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
V4407 Issued in TX
Practice address
19106 US Highway 281 N Ste 101
San Antonio, TX 78258-4988
Phone
(210) 953-0840
Fax
(210) 783-1991
NPI assigned
Apr 1, 2016
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 30838 NE
Psychiatry Physician 2084P0800X V4407 TX Primary
General Practice Physician 208D00000X 30838 NE

Addresses

Primary practice location

19106 US Highway 281 N Ste 101
San Antonio, TX 78258-4988

Mailing address

19106 US Highway 281 N Ste 101
San Antonio, TX 78258-4988
Phone (210) 953-0840

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250304002597 TX Practitioner - Psychiatry 2567761224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

551 S I-35 Frontage Rd
Suite 200
Round Rock, TX 78664
Phone (888) 374-5066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30838NEMDPsychiatry Physician
V4407TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center LLC, CurrentSince Feb 27, 2025 Accepting new patients
Texas Integrative Psychiatry PLLC Psychiatry Current Accepting new patients
Family Care Center, LLC Psychiatry CurrentSince Feb 27, 2025 Accepting new patients

Locations

551 S Interstate 35
Ste 200
Round Rock, TX 78664
Phone (512) 241-7314

19106 US Highway 281 N
Ste 101
San Antonio, TX 78258
Phone (210) 953-0840

Interoperability endpoints

  • Direct secure messaging: cjackson22776@direct.utmsa.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1316300866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19106 US HIGHWAY 281 N STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584988",
            "telephone_number": "210-953-0840",
            "fax_number": "210-783-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19106 US HIGHWAY 281 N STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584988",
            "telephone_number": "210-953-0840",
            "fax_number": "210-783-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "30838",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "V4407",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "30838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.