William Lemar Jackson Jr., MD

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

ME95860 Issued in FL

Practice address

1350 S Hickory St
Melbourne, FL 32901-3278

Phone

(321) 434-4225

Fax

(321) 434-4247

NPI assigned

May 18, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Intensimed, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Bethesda, MD
  • NPI 1801854088
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841243920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561600",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329561600",
            "telephone_number": "321-434-4656",
            "fax_number": "321-259-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S HICKORY ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013278",
            "telephone_number": "321-434-4225",
            "fax_number": "321-434-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "WILLIAM",
        "middle_name": "LEMAR",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME95860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan J Jacksland, OTR
• Audrey Lee Farson Jackson, APRN
• Jessica Jackson
• Tiye Jackson, PTA
• Valerie P. Jackson, MA
• Daryl Clayton Jacobs II, DPT, MTC, ATC
• Marielise Jacobs, OTR/L
• Shauna Arnold Jacobs, DPT
• Matthew Warner Jacobson, M.D.
• Amy Jacques

• Critical Care Medicine (Internal Medicine) Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Critical Care Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.