Individual provider Active NPI

Charles E. Jackson, FNP-C

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1871995803
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178860 Issued in VA
Practice address
8260 Willow Oaks Corporate Dr Ste 650
Fairfax, VA 22031-4531
Phone
(703) 776-2000
Fax
(571) 665-6797
NPI assigned
Sep 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024178860 VA Primary

Addresses

Primary practice location

8260 Willow Oaks Corporate Dr Ste 650
Fairfax, VA 22031-4531

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181015003332 DC Practitioner - Nurse Practitioner 7810219268 Reassigns benefits to 5 organizations
I20220518000260 VA Practitioner - Nurse Practitioner 7810219268 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

24801 Pinebrook Rd
Suite 110
Chantilly, VA 20152-4113
Phone (703) 722-2500

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 664-7000

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 771-2960

4600 Langston Blvd
Arlington, VA 22207-3415
Phone (571) 492-3080

8503 Arlington Blvd
Fairfax, VA 22031-4628
Phone (703) 970-2670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Faculty Associates, Inc CurrentSince Sep 7, 2018 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Feb 14, 2023 Accepting new patients
Inova Ucc LLC CurrentSince Nov 15, 2022 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Feb 14, 2023 Accepting new patients
Inova Health Care Services Current Accepting new patients
Medstar Urgent Care, LLC CurrentSince Mar 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Apr 11, 2022 Accepting new patients
Inova Health Care Services CurrentSince Apr 11, 2022 Accepting new patients
DC Care PLLC Family Current Accepting new patients

Locations

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

1101 15th St NW
Washington, DC 20005
Phone (202) 798-0100

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

4600 Cherry Hill Rd
Ste C
Arlington, VA 22207
Phone (571) 492-3080

4600 Langston Blvd
Arlington, VA 22207
Phone (571) 492-3080

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

8095 Innovation Park Dr
Bldg C
Fairfax, VA 22031
Phone (571) 472-6253

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

8260 Willow Oaks Corporate Dr
Ste 650
Fairfax, VA 22031
Phone (703) 776-2000

3700 Joseph Siewick Dr
Ste 100
Fairfax, VA 22033
Phone (571) 665-6467

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

1488 Northpoint Village Ctr
Reston, VA 20194
Phone (571) 525-5850

180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300

8357 Leesburg Pike
Vienna, VA 22182
Phone (571) 665-6400

Interoperability endpoints

  • Direct secure messaging: cjackson1051773@soc.inova.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1871995803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 WILLOW OAKS CORPORATE DR STE 650",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314531",
            "telephone_number": "703-776-2000",
            "fax_number": "571-665-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHARLES",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-22",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.