Kevin Jackson, M.D.
NPI 1225032782 · Geriatric Medicine (Family Medicine) Physician · Phoenix, AZ
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Jackson, M.D. is a Geriatric Medicine (Family Medicine) Physician provider in Phoenix, AZ (NPI 1225032782).
Provider details
- NPI number
- 1225032782
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 22105 (AZ)
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
21 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
- 2005-06-11
- Last updated
- 2023-04-13
- Certified
- 2023-04-13
Frequently asked questions
- What is Kevin Jackson's NPI number?
- Kevin Jackson's National Provider Identifier (NPI) is 1225032782, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Jackson's specialty?
- Kevin Jackson is listed in the NPPES registry with a primary specialty of Geriatric Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Kevin Jackson located?
- Kevin Jackson's practice location on file with NPPES is 7600 N 16th St Ste 112, Phoenix, AZ 85020-4446.
- What is Kevin Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kevin Jackson is (602) 830-0605.
- Does Kevin Jackson accept Medicare?
- Kevin Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Jackson's NPI active?
- Yes — Kevin Jackson's NPI (1225032782) is active in the NPPES registry as of the last update on 2023-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.