Darrin Jackson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

302304 Issued in LA

Practice address

1415 Corporate Square Dr Ste a
Slidell, LA 70458-3151

Phone

(985) 259-4854

Fax

(855) 807-4750

NPI assigned

Jul 1, 2013

Last updated

Jul 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in LA, MS2 enrollments

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 2

Specialty

Family Practice

Education

University of Mississippi School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marion General Hospital Hospital, Columbia, MS, CCN 250085
• Copiah County Medical Center Hospital, Hazlehurst, MS, CCN 251327

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: darrin.jackson.1@18812.direct.athenahealth.com
• Direct secure messaging: djackson1171503@direct.casso.us.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441

  MS

  Medicare reassignment NPD
• Ess of Ferriday, LLC

  • Emergency Medicine Physician
  • Ferriday, LA
  • NPI 1346900560
  Medicare reassignment NPD
• Rapid Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Mandeville, LA
  • NPI 1285970780
  Medicare reassignment NPD
• St Helena Parish Hospital

  • Critical Access Hospital
  • Greensburg, LA
  • NPI 1013068808
  Medicare reassignment NPD
• St. Helena Parish Hospital

  • Critical Access Hospital
  • Greensburg, LA
  • NPI 1588614036
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610

  LA

  Medicare reassignment NPD
• Copiah County Medical Center

  • Critical Access Hospital
  • Hazlehurst, MS
  • NPI 1588667281
  Medicare reassignment NPD
• Keystone Medical Services of Ms, Inc

  • Emergency Medicine Physician
  • Hazlehurst, MS
  • NPI 1174691059
  Medicare reassignment NPD
• RH Emergency Medicine of Highland Community LLC

  • Emergency Medicine Physician
  • Picayune, MS
  • NPI 1033987946
  Medicare reassignment NPD
• RH Emergency Medicine of Marion General LLC

  • Emergency Medicine Physician
  • Columbia, MS
  • NPI 1841064110
  Medicare reassignment NPD
• Grace Health Clinic

  • Family Medicine Physician
  • Slidell, LA
  • NPI 1295290963
  Medicare reassignment
• Rapid Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Metairie, LA
  • NPI 1104272863
  NPD

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

• Copiah County Medical Center

  • Critical Access Hospital
  • Hazlehurst, MS
  • NPI 1588667281
  Care Compare affiliation
• Forrest County General Hospital

  dba Marion General Hospital

  • General Acute Care Hospital
  • Columbia, MS
  • NPI 1427320993
  Care Compare affiliation

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1407296775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 CORPORATE SQUARE DR STE A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583151",
            "telephone_number": "985-259-4854",
            "fax_number": "855-807-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 CORPORATE SQUARE DR STE A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583151",
            "telephone_number": "985-259-4854",
            "fax_number": "855-807-4750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2750 Gause Blvd E",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704614149",
            "country_code": "US",
            "telephone_number": "985-639-3777",
            "fax_number": "985-639-3725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 Highway 402",
            "address_purpose": "LOCATION",
            "city": "Napoleonville",
            "state": "LA",
            "postal_code": "703902217",
            "country_code": "US",
            "telephone_number": "985-369-4250",
            "fax_number": "985-369-6163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DARRIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "T-2680",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "302304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05427361",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2427806",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "endpointDescription": "Athena Health EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1425 Fremaux Ave",
            "city": "Slidell",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704583150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djackson1171503@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "djackson1171503@direct.casso.us.com",
            "address_1": "135 Highway 402",
            "city": "Napoleonville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "703902217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "135 Highway 402",
            "city": "Napoleonville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "703902217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bruce J Iteld, MD,FACC,FCCP,FSCAI
• Tara Lynn Ivankovich, LMSW
• J & G Transportation LLC
• Bartholomew Eric Jackson Sr., NURSE PRACTITIONER
• Brooklyn Dior Jackson
• Grace Jackson, CPM LM
• Jenay Christina Jackson
• Kimberly Smith Jackson, LOTR
• Pleshetta Dewan Jackson, FNP
• Takelia Jackson

• Family Medicine Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.