Trevor Glenn Jackson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12458426-1202 Issued in UT

Practice address

3431 Cottage Hill Rd
Mobile, AL 36609-6501

Phone

(251) 333-1243

NPI assigned

Sep 28, 2021

Last updated

Sep 21, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Integrated Functional Medicine

  • General Practice Physician
  • Bountiful, UT
  • NPI 1629407697
  Medicare reassignment NPD
• Integrated Functional Medicine, LLC

  dba Integrated Pain Specialists

  • Pain Medicine Physician
  • South Jordan, UT
  • NPI 1568168102
  NPD
• Integrated Functional Medicine, LLC

  dba Integrated Pain Specialists

  • Interventional Pain Medicine Physician
  • Salt Lake City, UT
  • NPI 1780451864
  NPD
• Sports & Family Chiropractic Group PC

  • Chiropractor
  • Brigham City, UT
  • NPI 1760690465
  NPD
• Chiropractic Revolutions, LLC

  dba Chiropractic Revolutions

  • Health Service Clinic/Center
  • Layton, UT
  • NPI 1538613559
  NPD (past)

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1730850850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23246 BUSHEL DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365326466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 COTTAGE HILL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366096501",
            "telephone_number": "251-333-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TREVOR",
        "middle_name": "GLENN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-28",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "12458426-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle S. Jackson, M.D.
• Regina Jackson
• Savannah Rommel Jackson, MS, LPC, LCPC
• Sharcarus Jackson
• Sharie Jackson, MSN,RN
• Mina Ayad Jacob, M.D.,FACC,FSCAI
• Amy Adams Jacobs, CRNP
• John Clinton Jacobs V, M.D.
• Peyton Jacobs
• Samiksha Jain, MD

• Chiropractor in Mobile, AL
• Providers in Mobile, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.