Active NPI
Jerry Jay Jackson, MD
- Infectious Disease Physician
- Key West, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME114239
- Practice address
- 3142 Northside Dr
Key West, FL 33040-8012 - Phone
- (305) 615-3300
- NPI assigned
- Nov 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME114239 | FL | |
| Infectious Disease Physician | 207RI0200X | ME114239 | FL | Primary |
| Infectious Disease Physician | 207RI0200X | 64653 | GA | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | ME114239 | FL |
Addresses
Primary practice location
3142 Northside Dr
Key West, FL 33040-8012
Mailing address
3142 Northside Dr
Key West, FL 33040-8012
Phone (305) 615-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3142 Northside Dr
Suite 101
Key West, FL 33040-8012
Phone (305) 615-3300
Hospital & facility affiliations
- Goldencare Home Health Agency Inc
- Lower Keys Medical Center
- Fishermen'S Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME114239 | FL | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Id Consults and Services, PA | Infectious Disease | Current | Accepting new patients |
| Malibiano, Inc. | Internal Medicine | Current | Accepting new patients |
| Id Consults and Services, PA | Internal Medicine | Current | Accepting new patients |
| United Emergency Services, Inc. | Past | Accepting new patients |
Locations
3142 Northside Dr
Ste 101
Key West, FL 33040
Phone (305) 294-4004
1111 12th St
Ste 210
Key West, FL 33040
Phone (305) 295-3535
3142 Northside Dr
Key West, FL 33040
Phone (305) 292-7282
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Key West, FL
- NPI 1043551468
Infectious Disease
-
- Infectious Disease Physician
- Key West, FL
- NPI 1215353677
Internal Medicine
-
- Internal Medicine Physician
- Key West, FL
- NPI 1407798259
-
- Emergency Medicine Physician
- Booneville, MS
- NPI 1326007915
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Marathon, FL
- NPI 1235669110
-
- Home Health Agency
- Miami, FL
- NPI 1588865927
-
- General Acute Care Hospital
- Key West, FL
- NPI 1619922077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1881874584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3142 NORTHSIDE DR",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330408012",
"telephone_number": "305-615-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3142 NORTHSIDE DR",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330408012",
"telephone_number": "305-615-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "JERRY",
"middle_name": "JAY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-09",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME114239",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME114239",
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "GA",
"license": "64653",
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "FL",
"license": "ME114239",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.