Individual provider Active NPI

James Phillip Jackson, MD

  • Emergency Medicine Physician
  • Englewood, CO
National Provider Identifier
1659677375
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P5650 Issued in TX
Practice address
501 E Hampden Ave
Englewood, CO 80113-2702
Phone
(303) 788-5000
NPI assigned
Jan 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X P5650 TX Primary

Addresses

Primary practice location

501 E Hampden Ave
Englewood, CO 80113-2702

Mailing address

9956 W Remington PL Ste A10-300
Littleton, CO 80128-6732
Phone (214) 600-8433

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130703000251 TX Practitioner - Emergency Medicine 2466692025 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians Southwest PAGroup PAC ID 1850204363, 188 clinicians
Longhorn Emergency Medical Associates PAGroup PAC ID 4486971041, 149 clinicians

Practice addresses (Care Compare)

1600 Wallace Blvd
Amarillo, TX 79106-1799
Phone (806) 212-2000

919 E 32ND St
St David's Med Ctr
Austin, TX 78705-2703
Phone (830) 997-4353

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P5650TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Integrative Emergency Services Physician Group PA Emergency Medicine CurrentSince Mar 24, 2013 Accepting new patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Apr 15, 2024 Accepting new patients
Southwest General Emergency Physicians, PLLC Emergency Medicine Current Accepting new patients
Rio Grande Valley Emergency Physicians PLLC Emergency Medicine CurrentSince Apr 28, 2015 Accepting new patients

Locations

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

3500 Gaston Ave
Dallas, TX 75246

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

900 S Bryan Rd
Mission, TX 78572
Phone (956) 323-9000

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

Interoperability endpoints

  • Direct secure messaging: jjackson1092671@ahs.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1659677375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9956 W REMINGTON PL STE A10-300",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801286732",
            "telephone_number": "214-600-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HAMPDEN AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132702",
            "telephone_number": "303-788-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JAMES",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P5650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.