Active NPI
James F. Jackson III, M.D.
- Gastroenterology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- M5774
- Practice address
- 855 Proton Rd
San Antonio, TX 78258-4203 - Phone
- (210) 614-1234
- Fax
- (210) 614-0952
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | M5774 | TX | Primary |
Addresses
Primary practice location
855 Proton Rd
San Antonio, TX 78258-4203
Mailing address
8415 Datapoint Dr
Suite 1000
San Antonio, TX 78229-3298
Phone (210) 614-1234
Other practice location 1
5223 Hamilton Wolfe Rd
San Antonio, TX 78229-4463
Phone (210) 614-1234
Other practice location 2
12850 Toepperwein Rd
Live Oak, TX 78233-4115
Phone (210) 614-1234
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189168101 | Medicaid | TX | |
| 8J8384 | Other | TX | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Texas Medical School at San Antonio, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4370 Medical Arts Dr
Suite 295
Flower Mound, TX 75028-1742
Phone (972) 691-3777
Hospital & facility affiliations
- Methodist Hospital Stone Oak
- Baptist Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 66.51
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.76
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 190 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 181 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Digestive Disease Consultants, PLLC | Gastroenterology | Current | Accepting new patients |
| Texas Digestive Disease Consultants, PLLC | Gastroenterology | Current | Accepting new patients |
| Texas Digestive Disease Consultants PLLC | Gastroenterology | Current | Accepting new patients |
Locations
4370 Medical Arts Dr
Ste 295
Flower Mound, TX 75028
Phone (972) 691-3777
12850 Toepperwein Rd
Live Oak, TX 78233
Phone 2106141234713
5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860
5223 Hamilton Wolfe Rd
San Antonio, TX 78229
Phone 2106141234713
855 Proton Rd
San Antonio, TX 78258
Phone (210) 582-8000
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Irving, TX
- NPI 1053397331
-
- Gastroenterology Physician
- Houston, TX
- NPI 1013429968
-
- Gastroenterology Physician
- Covington, LA
- NPI 1295428415
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1659525236
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1730115528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8415 DATAPOINT DR",
"address_2": "SUITE 1000",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293298",
"telephone_number": "210-614-1234",
"fax_number": "210-614-7749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 PROTON RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584203",
"telephone_number": "210-614-1234",
"fax_number": "210-614-0952"
}
],
"practiceLocations": [
{
"address_1": "5223 Hamilton Wolfe Rd",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782294463",
"country_code": "US",
"telephone_number": "210-614-1234",
"fax_number": "216-614-0952",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12850 Toepperwein Rd",
"address_purpose": "LOCATION",
"city": "Live Oak",
"state": "TX",
"postal_code": "782334115",
"country_code": "US",
"telephone_number": "210-614-1234",
"fax_number": "216-614-0952",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "JAMES",
"middle_name": "F.",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "M5774",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189168101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8J8384",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.