Jackson Center, PA
NPI 1417013707 · Dermatology Physician · Naples, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
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
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Plastic Surgery Physician208200000X
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- 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.