Jason a. Zacks, MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G64013 Issued in AL

Legal business name

JASON A. ZACKS, MD PC

Practice address

1920 Fairview Ave
Dothan, AL 36301-3008

Phone

(334) 678-1400

Fax

(334) 678-1432

NPI assigned

Sep 19, 2007

Last updated

Sep 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Glenda A Jones, CMA

Title

Office Manager

Phone

(334) 678-1400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Alan Zacks, MD

  • Family Medicine Physician
  • Dothan, AL
  • NPI 1093710626
  NPD (past)

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1619163078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 FAIRVIEW AVE",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013008",
            "telephone_number": "334-678-1400",
            "fax_number": "334-678-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 FAIRVIEW AVE",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013008",
            "telephone_number": "334-678-1400",
            "fax_number": "334-678-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON A. ZACKS, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-678-1400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "G64013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addyson James
• Jamison Behavioral Wellness LLC
• Dallarie Jamison, CRNP
• Carmen Jan Liao, M.D.
• Maggie Lynn Janney
• Jason D. Beaver, MD LLC
• Hira Javaid, MD
• Chad Anthony Jenkins, MD
• Bruce A. Jenne, P.T.
• Courtney Jenne

• Primary Care Clinic/Center in Dothan, AL
• Providers in Dothan, AL by specialty
• Primary Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.