Jeffrey Allen Jackson, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

F5585 Issued in TX

Practice address

13828 Drakewood Dr
Sugar Land, TX 77498-2662

Phone

(713) 705-6972

NPI assigned

Aug 11, 2005

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: jjackson97602@directhoustonmethodist.org

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1821090697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13828 DRAKEWOOD DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982662",
            "telephone_number": "713-705-6972",
            "fax_number": "281-494-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13828 DRAKEWOOD DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982662",
            "telephone_number": "713-705-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "F5585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01031010",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00866614",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1821090697",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128033105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J and V Comfort Care LLC
• J-Rapha Clinic, LLC
• J-Rapha Clinic, LLC
• J. Michael Su D.D.S., P.a.
• Jabeen & Ahmed Medical Associates PLLC
• Lauryn Sydney Jackson
• Timara Jackson
• Georgy Jacob
• Jasmin Jacob, FNP-BC
• Jisha Jacob

• Neurology Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.