James Don Jackson Jr., MD, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

J3124 Issued in TX

Practice address

4002 S Loop 256
Ste. F
Palestine, TX 75801-8491

Phone

(903) 723-8210

Fax

(903) 723-8310

NPI assigned

Jun 24, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine, Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• J. Don Jackson Jr, MD, PA

  • Surgery Physician
  • Palestine, TX
  • NPI 1922150663
  Authorized official Same address or phone
• Willow Creek Surgery Center LP

  • Ambulatory Surgical Clinic/Center
  • Palestine, TX
  • NPI 1699006254
  NPD (past)

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1841296712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 817",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758020817",
            "telephone_number": "903-723-8210",
            "fax_number": "903-723-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 S LOOP 256",
            "address_2": "STE. F",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018491",
            "telephone_number": "903-723-8210",
            "fax_number": "903-723-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JAMES",
        "middle_name": "DON",
        "name_suffix": "Jr.",
        "credential": "MD, PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J3124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariam Fatima Hussain, MD
• In-Home Partner of Texas-I, LLC (Palestine Regional Home Health)
• Innovations Surgery Center, LP
• Internal Medicine Associates of Palestine, PA
• J. Don Jackson Jr, MD, PA
• Jaclyn Bailes Counseling PLLC
• James Orthodontics, Inc.
• Cheryl Ann James
• Jeffrey William James
• Jamie F Meyers, DDS, MD, PA

• Surgery Physician in Palestine, TX
• Providers in Palestine, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.