NPIMap

Organization Active NPI

Medical Digital Telehealth, LLC

  • Adult Health Nurse Practitioner
  • Troy, AL
National Provider Identifier
1801733589
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
MEDICAL DIGITAL TELEHEALTH, LLC
Practice address
63 S Court SQ
Troy, AL 36081-2609
Phone
(334) 372-2162
NPI assigned
Apr 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Patricia Jackson, DNP, CRNP-BCNPI 1427778471
Title
Owner
Phone
(334) 372-2162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

63 S Court SQ
Troy, AL 36081-2609

Mailing address

63 S Court SQ
Troy, AL 36081-2609
Phone (334) 372-2162

National Provider Directory

National Provider Directory

Locations

63 S Court Sq
Troy, AL 36081
Phone (334) 372-2162

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1801733589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 S COURT SQ",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812609",
            "telephone_number": "334-372-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 S COURT SQ",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812609",
            "telephone_number": "334-372-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIGITAL TELEHEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-372-2162",
        "authorized_official_credential": "DNP, CRNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.