Julia Ann Jackson, MD
Individual provider Active NPI Emergency Medicine Physician · Baton Rouge, LA
NPI 1447837745 · NPPES record last updated Apr 24, 2024
Key facts
- NPI
- 1447837745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 340641 (LA)
- Practice address
- 5246 Brittany Dr
Baton Rouge, LA 70808-9136 - Phone
- (225) 757-4142
- NPI assigned
- Mar 24, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Acs Primary Care Physicians Louisiana PC
Practice addresses (Care Compare)
6300 Main St
Zachary, LA 70791-4037
Phone (225) 658-4335
Hospital & facility affiliations
- Our Lady of the Lake Regional Medical Center
- Lane Regional Medical Center
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240617001309 | LA | Practitioner - Emergency Medicine | 3476954306 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Emergency Physician Associates, LLC | Emergency Medicine | Current |
Accepting new patients |
| Ascension Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Acs Primary Care Physicians Louisiana PC | Emergency Medicine | Current |
Accepting new patients |
| East Baton Rouge Emergency Physicians Group, LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
Dept AT952639
Atlanta, GA 31192
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
100 Womans Way
Baton Rouge, LA 70817
Phone (225) 293-2324
5439 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-2280
5000 Hennessy Blvd
Ste B
Baton Rouge, LA 70808
5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050
1125 W Highway 30
Gonzales, LA 70737
Phone (225) 621-2975
524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455
5000 Odonavan Blvd
Walker, LA 70785
Phone (225) 214-4200
6300 Main St
Zachary, LA 70791
Phone (225) 570-2618
Interoperability endpoints
- jjackson36270@direct.casso.us.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 340641 | LA | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
5246 Brittany Dr
Baton Rouge, LA 70808-9136
Mailing address
5246 Brittany Dr
Baton Rouge, LA 70808-9136
Phone (225) 757-4142
Other providers in Baton Rouge, LA
- Jewel Pamela Jackson
- Johnalynn Jackson
- Johnnie Jackson Jr.
- Jon Richard Jackson
- Joshua Darnell Jackson
- Keisha Nicole Jackson
- Keiva Nicole Jackson
- Kenneth Marlon Jackson
- Kermit Jackson
- Keyana Deshawn Jackson
All providers in Baton Rouge, LA · Emergency Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.