Active NPI
Gilchrist Lewis Jackson, M.D.
- Surgery Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- E7628
- Practice address
- 7515 S. Main St. Suite 740
Texas Oncology
Houston, TX 77030 - Phone
- (713) 795-0202
- Fax
- (713) 799-8290
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | E7628 | TX | Primary |
Addresses
Primary practice location
7515 S. Main St. Suite 740
Texas Oncology
Houston, TX 77030
Mailing address
7515 S. Main St. Suite 740
Texas Oncology
Houston, TX 77030
Phone (713) 795-0202
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101150403 | Medicaid | TX | |
| 101150401 | Medicaid | TX | |
| 101150404 | Medicaid | TX | |
| 101150405 | Medicaid | TX | |
| 101150407 | Medicaid | TX | |
| 101150406 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Louisville School of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4710 Bellaire Blvd
Bellaire, TX 77401-4505
Phone (713) 363-9411
7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| Kelsey-Seybold Medical Group, PLLC | Current | Accepting new patients | |
| Village Chiropractic and Wellness P.L.L.C. | Past | Accepting new patients |
Locations
1560 W Bay Area Blvd
Ste 100
Friendswood, TX 77546
Phone (713) 442-4400
7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955
2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412
6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633
23000 Highland Knolls Blvd
Katy, TX 77494
Phone (713) 442-4200
3023 Marina Bay Dr
Ste 104
League City, TX 77573
Phone (281) 334-7737
7010 Highway 6
Missouri City, TX 77459
Phone (713) 442-4200
2515 Business Center Dr
Pearland, TX 77584
Phone (713) 442-7200
16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800
Interoperability endpoints
- gjackson36742@directhoustonmethodist.org
Organizations & group practices 4
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.
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- NPI 1013915255
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
-
- Chiropractor
- League City, TX
- NPI 1972750719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1326134602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7515 S. MAIN ST. SUITE 740",
"address_2": "TEXAS ONCOLOGY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-795-0202",
"fax_number": "713-799-8290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7515 S. MAIN ST. SUITE 740",
"address_2": "TEXAS ONCOLOGY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-795-0202",
"fax_number": "713-799-8290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "GILCHRIST",
"middle_name": "LEWIS",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "E7628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101150403",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101150401",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101150404",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101150405",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101150407",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101150406",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.
- 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.