Active NPI
Margaret Jackson, M.D.
- Family Medicine Physician
- Waterville, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- FJ7754624
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Convenientmd - FFS UC LLC | Current | Accepting new patients | |
| Convenientmd - FFS UC LLC | Current | Accepting new patients | |
| Waterville Family Practice | Family Medicine | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Ellsworth, ME
- NPI 1780375220
-
- Family Medicine Physician
- Waterville, ME
- NPI 1386634707
-
- Urgent Care Clinic/Center
- Westbrook, ME
- NPI 1093406530
-
- Urgent Care Clinic/Center
- Sturbridge, MA
- NPI 1386526192
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.