James Jackson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J5166 Issued in TX

Practice address

2409 Falcon Pass Dr Ste 100
Houston, TX 77062-6276

Phone

(713) 557-0559

Fax

(281) 461-6860

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Internal Medicine

Education

University of Texas Medical Branch at Galveston, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas ER Group PLLCGroup PAC ID 4880039338, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Texas ER Group PLLC

  • Emergency Medicine Physician
  • Lumberton, TX
  • NPI 1235829359
  Medicare reassignment Care Compare group NPD
• Altus Exceptional Physician Group PLLC

  • Emergency Medicine Physician
  • Orange, TX
  • NPI 1730869207
  Medicare reassignment NPD
• Austin ER Associates PLLC

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1376114587
  Medicare reassignment NPD
• Excellence Emergency Hospital Physician PLLC

  • Clinic/Center
  • Houston, TX
  • NPI 1972223675
  Medicare reassignment NPD
• Optimum Ambulatory Health PLLC

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1174199707
  Medicare reassignment NPD
• TK Emergency Physicians Group PLLC

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1942728019
  Medicare reassignment NPD
• Taurus T, PLLC

  • Internal Medicine Physician
  • Dickinson, TX
  • NPI 1528556370
  NPD Authorized official
• Grace Emergency Room, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Houston, TX
  • NPI 1538508635
  NPD (past)
• Medical Center Emergency Physicians PA

  • Emergency Medicine Physician
  • The Woodlands, TX
  • NPI 1003096553
  NPD (past)
• Medical Center Emergency Physicians PA

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1639154230
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1396766176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 FALCON PASS DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770626276",
            "telephone_number": "281-461-1111",
            "fax_number": "281-461-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 FALCON PASS DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770626276",
            "telephone_number": "713-557-0559",
            "fax_number": "281-461-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J5166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89132Y",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134717110",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167947401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inimfon Jackson, MD, MPH, PHD
• Iyahna Jackson, RBT
• J.C. Jackson Jr., R.PH.
• Jacque Jackson
• Jamaal Christopher Jackson, MD
• James Stuart Jackson, MD
• Jamesia J Jackson, CRNA
• Jamis Jackson, M.D.
• Jaylon Jackson
• Jenell Curnese Jackson, M.D.

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.

Verify at the official NPI Registry.