Individual provider Active NPI

Asia N Jackson, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Weatherford, TX
National Provider Identifier
1669725529
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2155 Issued in TX
Practice address
750 Eureka St Ste C
Weatherford, TX 76086-6521
Phone
(817) 596-5077
Fax
(817) 598-0673
NPI assigned
Oct 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PR282 FL
Foot & Ankle Surgery Podiatrist 213ES0103X 2155 TX Primary

Addresses

Primary practice location

750 Eureka St Ste C
Weatherford, TX 76086-6521

Mailing address

750 Eureka St Ste C
Weatherford, TX 76086-6521
Phone (817) 596-5077

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150729007581 TX Practitioner - Podiatry 2365756830 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health PodiatryGroup PAC ID 3476074519, 6 clinicians

Practice addresses (Care Compare)

1412 S Main St
Weatherford, TX 76086-5531
Phone (817) 596-8077

4006 Belt Line Rd
Suite 185
Addison, TX 75001-4371
Phone (214) 395-7171

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue79
Removal of skin lesions32
Removal of nail tissue758
Removal or shaving of skin growth200
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2155TXMDOptometrist
PR282FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Cardiovascular Solutions CurrentSince Dec 5, 2023 Accepting new patients
Community Health Podiatry Foot & Ankle Surgery CurrentSince Apr 2, 2025 Accepting new patients
Advanced Podiatry Associates, PLLC Foot & Ankle Surgery CurrentSince Apr 30, 2019 Accepting new patients
Woodly Foot and Ankle Specialists, PC Foot & Ankle Surgery Past Accepting new patients

Locations

4006 Belt Line Rd
Ste 185
Addison, TX 75001
Phone (214) 619-5632

4006 Belt Line Rd
#185
Addison, TX 75001
Phone (214) 395-7171

1412 S Main St
Weatherford, TX 76086
Phone (817) 596-5077

750 Eureka St
Ste C
Weatherford, TX 76086
Phone (817) 341-8787

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1669725529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 EUREKA ST STE C",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866521",
            "telephone_number": "817-596-5077",
            "fax_number": "817-598-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 EUREKA ST STE C",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866521",
            "telephone_number": "817-596-5077",
            "fax_number": "817-598-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ASIA",
        "middle_name": "N",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PR282",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.