Penelope Aikin Jackson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L2078 Issued in TX

Practice address

2005 Rockview Drive
Granbury, TX 76049

Phone

(817) 579-1005

Fax

(817) 579-1093

NPI assigned

Jan 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Penelope T Aikin Former name

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Northeastern Ohio University College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596
• Glen Rose Medical Center Hospital, Glen Rose, TX, CCN 450451

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FDFIBD/Endpoint/FDFIBD
• Direct secure messaging: penelope.jackson@lgimp.eclinicaldirectplus.com

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.

• Lake Granbury Internal Medicine & Pediatrics, PA

  • Internal Medicine Physician
  • Granbury, TX
  • NPI 1972608636
  Medicare reassignment NPD Authorized official
• Mid County Medical Group PA

  • Internal Medicine Physician
  • Port Arthur, TX
  • NPI 1568470136
  NPD (past)

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

• Granbury Hospital Corporation

  • General Acute Care Hospital
  • Granbury, TX
  • NPI 1114998911
  Care Compare affiliation
• Somervell County Hospital District

  • Rural Acute Care Hospital
  • Glen Rose, TX
  • NPI 1700826575
  Care Compare affiliation

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1548240682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 ROCKVIEW DRIVE",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "76049",
            "telephone_number": "817-579-1005",
            "fax_number": "817-579-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 ROCKVIEW DRIVE",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "76049",
            "telephone_number": "817-579-1005",
            "fax_number": "817-579-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "PENELOPE",
        "middle_name": "AIKIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L2078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENELOPE",
            "last_name": "AIKIN",
            "middle_name": "T",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• J Scott Smith MD PA
• J&B Inhome Texas Care, LLC
• Jack Jones Hearing Centers, Inc
• Heath Owen Jackson, DPM
• Laura Long Jackson, SLP
• Rachael Myers Jackson, FNP-C
• Joan G Jaeckle, LCSW
• Amanda Lynn Jarvis, WHNP
• Jason a Berry DDS PA
• Ruston Ladd Jennings, M.D.

• Internal Medicine Physician in Granbury, TX
• Providers in Granbury, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.