Individual provider Active NPI

Margaret Jackson, M.D.

  • Family Medicine Physician
  • Waterville, ME
National Provider Identifier
1558748608
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
FJ7754624 Issued in ME
Practice address
31 Front St
Waterville, ME 04901-6626
Phone
(207) 873-1181
Fax
(207) 873-1186
NPI assigned
Apr 28, 2015
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X FJ7754624 ME Primary

Addresses

Primary practice location

31 Front St
Waterville, ME 04901-6626

Mailing address

272 Congress St
Portland, ME 04101-3637
Phone (207) 874-2466

Other practice location 1

18 Belmont Ave
Belfast, ME 04915-6869
Phone (207) 607-5270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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

Enrollment IDStateProvider typePAC IDDetails
I20180927003310 ME Practitioner - Family Practice 1658685128 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Jan 1, 2024 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Jan 1, 2024 Accepting new patients
Waterville Family Practice Family Medicine CurrentSince Sep 1, 2018 Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients

Locations

600 Center St
Auburn, ME 04210
Phone (207) 783-8951

18 Belmont Ave
Belfast, ME 04915
Phone (207) 607-5270

193 Bath Rd
Brunswick, ME 04011
Phone (207) 424-2272

235 High St
Ellsworth, ME 04605
Phone (207) 412-5200

191 Marginal Way
Portland, ME 04101
Phone (207) 517-3838

31 Front St
Waterville, ME 04901
Phone (207) 872-1181

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

Interoperability endpoints

  • Direct secure messaging: margaretjackson@wfamprac.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1558748608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013637",
            "telephone_number": "207-874-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 FRONT ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016626",
            "telephone_number": "207-873-1181",
            "fax_number": "207-873-1186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Belfast",
            "state": "ME",
            "postal_code": "049156869",
            "country_code": "US",
            "telephone_number": "207-607-5270",
            "fax_number": "207-607-5271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MARGARET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "FJ7754624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.