Deanna Jackson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1090205 Issued in AL

Practice address

2615 Gault Ave N
Fort Payne, AL 35967-3728

Phone

(256) 845-4134

Fax

(256) 845-4709

NPI assigned

Sep 16, 2016

Last updated

Sep 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in AL

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 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Highlands Professional ServicesGroup PAC ID 0648666198, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Highlands Medical Center Hospital, Scottsboro, AL, CCN 010061
• Dekalb Regional Medical Center Hospital, Fort Payne, AL, CCN 010012

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deanna.jackson.1@29332.direct.athenahealth.com

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.

• Highlands Professional Services

  dba Harmony Healthcare

  • Specialist
  • Scottsboro, AL
  • NPI 1750041786
  Medicare reassignment Care Compare group NPD
• Scottsboro OB GYN Specialists LLC

  • Obstetrics & Gynecology Physician
  • Scottsboro, AL
  • NPI 1972658300
  NPD
• Surgical Consultants, LLC

  • Gynecology Physician
  • Metairie, LA
  • NPI 1326590530
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HH Health System - Dekalb, LLC

  dba DeKalb Regional Medical Center

  • General Acute Care Hospital
  • Fort Payne, AL
  • NPI 1770344665
  Care Compare affiliation
• HH Health System - Jackson LLC

  dba Highlands Medical Center

  • General Acute Care Hospital
  • Scottsboro, AL
  • NPI 1699444976
  Care Compare affiliation

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1952859175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 GAULT AVE N",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359673728",
            "telephone_number": "256-845-4134",
            "fax_number": "256-845-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 GAULT AVE N",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359673728",
            "telephone_number": "256-845-4134",
            "fax_number": "256-845-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DEANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1090205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Burns Ingram, OTR/L
• Insight Eye Care, LLC
• Isbell Medical Group, P.C.
• John Blakely Isbell, M.D.
• Steven Alan Isbell, M.D.
• Brilee Johnson
• Chloe Johnson, MSW
• Emily S Jones
• Marja Lee Jones, CRNP
• Ketrina Lynn Jordan, EDD

• Family Nurse Practitioner in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.

Verify at the official NPI Registry.