Organization Active NPI

Jackson T. Achilles, MD PA

  • Psychiatry Physician
  • Beaumont, TX
National Provider Identifier
1326290578
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E8280 Issued in TX
Legal business name
JACKSON T. ACHILLES, MD PA
Practice address
810 Hospital Dr
Suite 320
Beaumont, TX 77701-4600
Phone
(409) 838-1116
Fax
(409) 838-0516
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Dr. Jackson Todd Achilles, MD
Title
Psychiatrist
Phone
(409) 838-1116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X E8280 TX Primary

Addresses

Primary practice location

810 Hospital Dr
Suite 320
Beaumont, TX 77701-4600

Mailing address

810 Hospital Dr
Suite 320
Beaumont, TX 77701-4600
Phone (409) 838-1116

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1326290578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 HOSPITAL DR",
            "address_2": "SUITE 320",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014600",
            "telephone_number": "409-838-1116",
            "fax_number": "409-838-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HOSPITAL DR",
            "address_2": "SUITE 320",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014600",
            "telephone_number": "409-838-1116",
            "fax_number": "409-838-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON T. ACHILLES, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "ACHILLES",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "409-838-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "E8280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.