What is Jon Jackson's NPI number?

Jon Jackson's National Provider Identifier (NPI) is 1093724551, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jon Jackson's specialty?

Jon Jackson is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Jon Jackson located?

Jon Jackson's practice location on file with NPPES is 4770 S Ridgewood Ave, Port Orange, FL 32127-4544.

What is Jon Jackson's phone number?

The practice phone number listed in the NPPES registry for Jon Jackson is (386) 761-0050.

Is Jon Jackson's NPI active?

Yes — Jon Jackson's NPI (1093724551) is active in the NPPES registry as of the last update on 2007-07-09.

IndividualActive

Jon Jackson, M.D.

NPI 1093724551 · Specialist · Port Orange, FL

Jon Jackson, M.D. is a Specialist provider in Port Orange, FL (NPI 1093724551).

Provider details

NPI number: 1093724551
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: M.D.
Sex: Male
Sole proprietor: Yes
License: ME28054 (FL)

Specialties & taxonomies

SpecialistPrimary174400000XLicense ME28054 (FL)
Other Service Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

4770 S Ridgewood Ave

Port Orange, FL 32127-4544

Phone: (386) 761-0050

Fax: (386) 761-1167

Street-level locationGet directions

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Mailing address