What is Jackson Center, PA's NPI number?

Jackson Center, PA's National Provider Identifier (NPI) is 1417013707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Jackson Center, PA?

Jackson Center, PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).

Where is Jackson Center, PA located?

Jackson Center, PA's practice location on file with NPPES is 4500 Executive Dr Ste 300, Naples, FL 34119-8908.

What is Jackson Center, PA's phone number?

The practice phone number listed in the NPPES registry for Jackson Center, PA is (239) 598-9009.

Does Jackson Center, PA accept Medicare?

Jackson Center, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Who is the authorized official for Jackson Center, PA?

The authorized official listed on Jackson Center, PA's NPPES record is Jon Jackson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Jackson Center, PA's NPI active?

Yes — Jackson Center, PA's NPI (1417013707) is active in the NPPES registry as of the last update on 2023-02-17.

OrganizationActiveAccepts Medicare

Jackson Center, PA

NPI 1417013707 · Dermatology Physician · Naples, FL

Jackson Center, PA is a Dermatology Physician organization in Naples, FL (NPI 1417013707).

Provider details

NPI number: 1417013707
Entity type: Organization
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Jon Jackson, President(239) 598-9009

Practice location

4500 Executive Dr Ste 300

Naples, FL 34119-8908

Phone: (239) 598-9009

Fax: (239) 598-5009

Street-level locationGet directions

More FL providers

Mailing address

4500 Executive Dr Ste 300

Naples, FL 34119-8908

Specialties & taxonomies

Dermatology PhysicianPrimary207N00000X
Allopathic & Osteopathic Physicians
Plastic Surgery Physician208200000X
Allopathic & Osteopathic Physicians

Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

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.

Enumerated: 2006-12-29
Last updated: 2023-02-17
Certified: 2023-02-17

Frequently asked questions

What is Jackson Center, PA's NPI number?: Jackson Center, PA's National Provider Identifier (NPI) is 1417013707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Jackson Center, PA?: Jackson Center, PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
Where is Jackson Center, PA located?: Jackson Center, PA's practice location on file with NPPES is 4500 Executive Dr Ste 300, Naples, FL 34119-8908.
What is Jackson Center, PA's phone number?: The practice phone number listed in the NPPES registry for Jackson Center, PA is (239) 598-9009.
Does Jackson Center, PA accept Medicare?: Jackson Center, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Who is the authorized official for Jackson Center, PA?: The authorized official listed on Jackson Center, PA's NPPES record is Jon Jackson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Jackson Center, PA's NPI active?: Yes — Jackson Center, PA's NPI (1417013707) is active in the NPPES registry as of the last update on 2023-02-17.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions