NPIMap

James Jackson, D.O.

Individual provider Active NPI Orthopaedic Surgery Physician · Lake Charles, LA

NPI 1356720122 · NPPES record last updated Apr 27, 2022

Key facts

NPI
1356720122
Entity type
Individual (NPI type 1)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
License
327406 (LA)
Practice address
4345 Nelson Rd Ste 101
Lake Charles, LA 70605-4183
Phone
(337) 480-7942
Fax
(337) 480-7964
NPI assigned
May 26, 2015
Sex
Male
Sole proprietor
No

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.

Hospital & facility affiliations 13

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

Medicare Care Compare profile

Specialty
Orthopedic Surgery
Education
Nova Southeastern College of Osteo Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Physical Therapy Services of West Louisiana Inc (92 clinicians)
Lake Charles Medical Services Orthopedics Associates LLC (13 clinicians)

Practice addresses (Care Compare)

301 W Fertitta Blvd
Leesville, LA 71446-4665
Phone (337) 238-9931

4345 Nelson Rd
Orthopaedic Specialists
Lake Charles, LA 70605-4156
Phone (337) 494-4900

Hospital & facility affiliations

  • Southern Home Health Home health agency · Lake Charles, LA · CCN 197766
  • Jeff Davis MD Homecare Home health agency · Jennings, LA · CCN 197039
  • Lake Charles Memorial Hospital Hospital · Lake Charles, LA · CCN 190060
  • West Calcasieu Cameron Hospital Hospital · Sulphur, LA · CCN 190013
  • Beauregard Memorial Hospital Hospital · Deridder, LA · CCN 190050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)35
Removal of tissue1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210825003343 LA Practitioner - Orthopedic Surgery 9335454149 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Charles Medical Services Orthopedics Associates LLC Orthopaedic Surgery Current
since Aug 16, 2021		 Accepting new patients
M Alan Hinton MD Apmc Orthopaedic Surgery Past
since Aug 1, 2007		 Accepting new patients
Swlhs LLC Past Accepting new patients

Locations

4345 Nelson Rd
Ste 101
Lake Charles, LA 70605
Phone (337) 480-7942

4345 Nelson Rd
Fl 1
Lake Charles, LA 70605

4345 Nelson Rd
Lake Charles, LA 70605
Phone (337) 480-7900

1717 Oak Park Blvd
Fl 3
Lake Charles, LA 70601
Phone (337) 494-4900

4345 Nelson Rd
Ste 201
Lake Charles, LA 70605
Phone (337) 494-6800

230 W Sale Rd
Lake Charles, LA 70605
Phone (337) 477-5252

Interoperability endpoints

  • Direct secure messaging: jjackson613742@direct.osumc.edu

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 327406 LA Yes

Addresses

Primary practice location

4345 Nelson Rd Ste 101
Lake Charles, LA 70605-4183

Mailing address

PO Box 122165 Dept 2165
Dallas, TX 75312-0001
Phone (337) 494-2921

Other practice location 1

1717 Oak Park Blvd Fl 3
Lake Charles, LA 70601-8990
Phone (337) 494-4900

Other identifiers

IdentifierTypeStateIssuer
2571281MedicaidLA
327406OtherLASTATE LICENSE

Other providers in Lake Charles, LA

All providers in Lake Charles, LA · Orthopaedic Surgery Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.