Jackson Street Pediatrics, LLC
NPI 1205454774 · Pediatrics Physician · Alexandria, LA
Jackson Street Pediatrics, LLC is a Pediatrics Physician organization in Alexandria, LA (NPI 1205454774).
Provider details
- NPI number
- 1205454774
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kai Wicker-Brown, Owner(313) 300-3637
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2020-07-10
- Last updated
- 2020-07-10
- Certified
- 2020-07-10
Frequently asked questions
- What is Jackson Street Pediatrics, LLC's NPI number?
- Jackson Street Pediatrics, LLC's National Provider Identifier (NPI) is 1205454774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Street Pediatrics, LLC?
- Jackson Street Pediatrics, LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jackson Street Pediatrics, LLC located?
- Jackson Street Pediatrics, LLC's practice location on file with NPPES is 5716 Jackson St, Alexandria, LA 71303-2042.
- What is Jackson Street Pediatrics, LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Street Pediatrics, LLC is (318) 767-6503.
- Who is the authorized official for Jackson Street Pediatrics, LLC?
- The authorized official listed on Jackson Street Pediatrics, LLC's NPPES record is Kai Wicker-Brown, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Street Pediatrics, LLC's NPI active?
- Yes — Jackson Street Pediatrics, LLC's NPI (1205454774) is active in the NPPES registry as of the last update on 2020-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.