Active NPI
Garrett J Jackson, M.D.
- Neurological Surgery Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 01074880A
- Practice address
- 11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845-1673 - Phone
- (260) 425-6780
- Fax
- (260) 425-6615
- NPI assigned
- Apr 1, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | WV | ||
| Neurological Surgery Physician | 207T00000X | 01074880A | IN | Primary |
Addresses
Primary practice location
11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845-1673
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gjackso1@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Neurosurgery
- Education
- Indiana University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 Michigan Ave
Suite 215
Logansport, IN 46947-1594
Phone (574) 753-2222
1101 Michigan Ave
Loganport, IN 46947-1528
Phone (574) 753-7541
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 425-6030
11115 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 672-6443
2600 Greenbush St
Lafayette, IN 47904-2477
Phone (765) 448-8000
3750 Landmark Dr
Suite B
Lafayette, IN 47905-6652
Phone (765) 838-4100
5165 McCarty LN
Lafayette, IN 47905-8764
Phone (765) 448-8000
5177 McCarty LN
Lafayette, IN 47905-8764
Phone (765) 448-8000
817 Trail Ridge Rd
Albion, IN 46701-1534
Phone (260) 373-9590
Hospital & facility affiliations
- Memorial Hospital
- Indiana University Health Arnett Hospital
- Parkview Regional Medical Center
- Indiana University Health White Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 72 |
| Laminectomy or laminotomy (partial removal of spine bones) | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Parkview Logansport Hospital, Inc. | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Parkview Health System Inc | Current | Accepting new patients | |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Parkview Logansport Hospital, Inc. | Current | Accepting new patients |
Locations
7216 Solutions Ctr
Chicago, IL 60677
8016 Reliable Pkwy
Chicago, IL 60686
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
11104 Parkview Circle Dr
Ste 110
Fort Wayne, IN 46845
Phone (260) 425-6780
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
3750 Landmark Dr
Ste B
Lafayette, IN 47905
Phone (765) 448-7981
2600 Greenbush St
Lafayette, IN 47904
1025 Michigan Ave
Ste 215
Logansport, IN 46947
Phone (574) 753-2222
1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475
1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009
751 W 2nd St
Ste 100
Peru, IN 46970
Phone (765) 919-4378
Interoperability endpoints
- gjackso1@direct.iuhealth.org
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Lafayette, IN
- NPI 1164490843
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1942317656
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
-
- Rural Health Clinic/Center
- Peru, IN
- NPI 1770248015
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1669828042
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, IN
- NPI 1326296211
-
- Critical Access Hospital
- Monticello, IN
- NPI 1710983945
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1356320469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1336381631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11104 PARKVIEW CIRCLE DR STE 110",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451673",
"telephone_number": "260-425-6780",
"fax_number": "260-425-6615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "GARRETT",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-01",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WV",
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IN",
"license": "01074880A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gjackso1@direct.iuhealth.org",
"affiliation": "N",
"address_1": "3750 Landmark Dr",
"address_2": "Suite B",
"city": "Lafayette",
"state": "IN",
"country_code": "US",
"postal_code": "479056652",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.