Active NPI
Ronny Lynn Jackson, M.D.
- Emergency Medicine Physician
- Portsmouth, VA
National Provider Identifier
1942266200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101054382
- Practice address
- Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708 - Phone
- (757) 953-1404
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101054382 | VA | Primary |
Addresses
Primary practice location
Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708
Mailing address
6034 Steeplechase LN
Suffolk, VA 23435-3224
Phone (757) 638-0494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101054382 | VA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1942266200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6034 STEEPLECHASE LN",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353224",
"telephone_number": "757-638-0494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL MEDICAL CENTER PORTSMOUTH",
"address_2": "620 JOHN PAUL JONES CIRCLE",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23708",
"telephone_number": "757-953-1404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "RONNY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101054382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, VA
- Dandria Jackson, PSY.D
- Isaiah William Jackson, MD
- Laura Ashlyn Broome Jackson, PHARMD
- Maggie Jackson, RDH (BSDH/MASTER OF
- Monica Maigol Jackson, MD
- Theresa G Jackson, MD
- Helene Ruth Jacobson, PHARM.D.
- Vanda Gibson Jaggard, REGISTERED NURSE
- Richard H Jaglowski, LCSW
- James Bentley Treatment Program (James Bentley Intensive In-Home)
Sources for this page
- 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.