James Jackson III

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

111 Green St
Brockton, MA 02301-7222

Phone

(857) 275-6438

NPI assigned

Nov 21, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1528833340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 GREEN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023017222",
            "telephone_number": "857-275-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GREEN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023017222",
            "telephone_number": "857-275-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda K Jablonski, MA
• Albert Jackson
• Darlene R. Jackson
• Doreen J. Jackson, LMHC
• Elizabeth Jackson
• James Jackson
• Jessica Davis Jackson, AU.D.
• Sidney James Jackson Jr., LSWA
• Daphne Jacobs
• Dolan T Jacobs, DPT

• Case Manager/Care Coordinator in Brockton, MA
• Providers in Brockton, MA by specialty
• Case Manager/Care Coordinator in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.