Active NPI
Adrianna Jackson
- Pediatrics Physician
- Baltimore, MD
National Provider Identifier
1588291173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0097230
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1590 - Phone
- (410) 328-7616
- NPI assigned
- Mar 24, 2020
- Last updated
- Apr 24, 2026
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0097230 | MD | Primary |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1590
Mailing address
9000 Franklin Square Dr
Baltimore, MD 21237-3901
Other practice location 1
9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7850
Other practice location 2
345 Saint Paul St
Baltimore, MD 21202-2123
Phone (410) 332-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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 |
|---|---|---|---|
| Maryland Family Care, Inc. | Pediatrics | Current | Accepting new patients |
Locations
345 Saint Paul St
Baltimore, MD 21202
Phone (410) 332-9594
7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654
Interoperability endpoints
- ajackson110452@direct.mdmercy.com
Organizations & group practices 1
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": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1588291173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 FRANKLIN SQUARE DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212373901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011590",
"telephone_number": "410-328-7616"
}
],
"practiceLocations": [
{
"address_1": "9000 Franklin Square Dr",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212373901",
"country_code": "US",
"telephone_number": "443-777-7850",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "345 Saint Paul St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212022123",
"country_code": "US",
"telephone_number": "410-332-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "ADRIANNA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-24",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0097230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.