Jessica Davis Jackson, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD100190 Issued in MA

Practice address

35 Pearl St Ste 100
Brockton, MA 02301-2866

Phone

(508) 588-8034

Fax

(508) 897-0475

NPI assigned

Jul 1, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA, MA2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ENT Specialists, IncGroup PAC ID 0648353888, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73431
• FHIR API: https://fhir4.healow.com/fhir/r4/HFADAA
• Direct secure messaging: jessica.jackson@theentcenter.directbygreenway.com

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.

• ENT Specialists, Inc

  • Otolaryngology Physician
  • Brockton, MA
  • NPI 1548319809
  Medicare reassignment Care Compare group NPD
• ENT Norwood LLC

  • Otolaryngology Physician
  • Norwood, MA
  • NPI 1265749907
  Medicare reassignment NPD
• Otolaryngology Physicians of Lancaster, LTD.

  • Otolaryngology Physician
  • Lancaster, PA
  • NPI 1134200181
  Medicare reassignment NPD
• Wellspan Hearing Center Inc

  • Audiologist
  • York, PA
  • NPI 1396404943
  Medicare reassignment NPD
• York ENT Associates

  • Specialist
  • York, PA
  • NPI 1669424040
  NPD

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1861875486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PEARL ST STE 100",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012866",
            "telephone_number": "508-588-8034",
            "fax_number": "508-897-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PEARL ST STE 100",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012866",
            "telephone_number": "508-588-8034",
            "fax_number": "508-897-0475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Plaza Blvd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012762",
            "country_code": "US",
            "telephone_number": "717-735-1463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "561 W Trout Run Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229604",
            "country_code": "US",
            "telephone_number": "717-220-3494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JESSICA",
        "middle_name": "DAVIS",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006419",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "AUD100190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13592238",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030512850001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darlene R. Jackson
• Doreen J. Jackson, LMHC
• Elizabeth Jackson
• James Jackson III
• James Jackson
• Sidney James Jackson Jr., LSWA
• Daphne Jacobs
• Dolan T Jacobs, DPT
• Leah Danielle Jacobs, EI SPECIALIST
• Karen Jacobson Pink

• Audiologist in Brockton, MA
• Providers in Brockton, MA by specialty
• Audiologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.