Active NPI
Heath Owen Jackson, DPM
- Podiatrist
- Granbury, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 3174
- Practice address
- 1008 Paluxy Rd
Granbury, TX 76048-2397 - Phone
- (817) 573-7178
- NPI assigned
- Jun 25, 2019
- Last updated
- Aug 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 3174 | TX | Primary |
Addresses
Primary practice location
1008 Paluxy Rd
Granbury, TX 76048-2397
Mailing address
1008 Paluxy Rd
Granbury, TX 76048-2397
Phone (817) 573-7178
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1008 Paluxy Rd
Granbury, TX 76048-2397
Phone 81757371781
Hospital & facility affiliations
- Stephen's Health Care, Inc.
- Texas Health Harris Methodist Hospital Stephenvill
- Lake Granbury Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.49 of 100
- Quality
- 44.99
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 262 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 46 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3174 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard M Adams DPM PA | Single Specialty | Current | Accepting new patients |
| Glen Rose Healthcare, Inc | Single Specialty | Past | Accepting new patients |
Locations
1008 Paluxy Rd
Granbury, TX 76048
Phone (254) 897-1636
Interoperability endpoints
- https://api.platform.athenahealth.com/1948/brand/1/csg/1/fhir/r4
- https://fhir-myrecord.cerner.com/r4/8b5675f4-fabf-49b9-90d5-2630480a3d7a/
Organizations & group practices 2
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.
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lake Granbury Medical Center
- General Acute Care Hospital
- Granbury, TX
- NPI 1114998911
-
- Home Health Agency
- Stephenville, TX
- NPI 1891790135
-
- General Acute Care Hospital
- Stephenville, TX
- NPI 1922031541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1528629177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 PALUXY RD",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760482397",
"telephone_number": "817-573-7178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 PALUXY RD",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760482397",
"telephone_number": "817-573-7178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "HEATH",
"middle_name": "OWEN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-25",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "3174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.