IndividualActive
Jackson Streeter, MD
NPI 1154662658 · Family Medicine Physician · Newberry, FL
Jackson Streeter, MD is a Family Medicine Physician provider in Newberry, FL (NPI 1154662658).
Provider details
- NPI number
- 1154662658
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- AZ20619 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
13424 Sw 4th Ln
Newberry, FL 32669-3050
Phone: (619) 813-6018
Street-level locationGet directions
Mailing address
13424 Sw 4th Ln
Newberry, FL 32669-3050
Registry dates
- Enumerated
- 2013-03-07
- Last updated
- 2013-03-07
Frequently asked questions
- What is Jackson Streeter's NPI number?
- Jackson Streeter's National Provider Identifier (NPI) is 1154662658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Streeter's specialty?
- Jackson Streeter is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jackson Streeter located?
- Jackson Streeter's practice location on file with NPPES is 13424 Sw 4th Ln, Newberry, FL 32669-3050.
- What is Jackson Streeter's phone number?
- The practice phone number listed in the NPPES registry for Jackson Streeter is (619) 813-6018.
- Is Jackson Streeter's NPI active?
- Yes — Jackson Streeter's NPI (1154662658) is active in the NPPES registry as of the last update on 2013-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.