Milton Schreiner Jackson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

28812 Issued in KY

Practice address

225 Natchez Trace Ave
Bowling Green, KY 42103-7995

Phone

(270) 783-3753

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Russell County Hospital

  • Certified Registered Nurse Anesthetist
  • Russell Springs, KY
  • NPI 1437245842
  Medicare reassignment NPD
• Russell County Hospital

  • Rural Health Clinic/Center
  • Russell Springs, KY
  • NPI 1295245025
  NPD
• Bowling Green Warren County Primary Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bowling Green, KY
  • NPI 1336268234
  NPD (past)
• Jane Todd Crawford Memorial Hospital, Inc.

  • Clinical Medical Laboratory
  • Greensburg, KY
  • NPI 1386953966
  NPD (past)
• Jane Todd Crawford Memorial Hospital, Inc.

  • Emergency Medicine Physician
  • Greensburg, KY
  • NPI 1548476633
  NPD (past)
• Monroe Medical Foundation, Inc.

  • General Acute Care Hospital
  • Tompkinsville, KY
  • NPI 1053499350
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1437198546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W BEAR TRACK RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188709",
            "telephone_number": "502-339-8000",
            "fax_number": "502-339-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NATCHEZ TRACE AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037995",
            "telephone_number": "270-783-3753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 Lime Kiln Ln",
            "address_2": "B",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402223416",
            "country_code": "US",
            "telephone_number": "502-339-8000",
            "fax_number": "502-339-8501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MILTON",
        "middle_name": "SCHREINER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "28812",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "28812",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "28812",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64288129",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dolores Jackson
• Eli O. Jackson, D.M.D.
• Kevin Ryan Jackson, O.D.
• Lori Ann Jackson, ARNP
• Megan Kay Jackson, APRN
• Miranda Hulett Jackson, PHARM D
• Sheena N Jackson
• Veronica Jackson
• Jennifer A Jacobs, SLP
• Beverly G. Jaggers, APRN

• Internal Medicine Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.