Jacks Dermatology P.A.
NPI 1558621367 · Dermatology Physician · Pine Bluff, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacks Dermatology P.A. is a Dermatology Physician organization in Pine Bluff, AR (NPI 1558621367).
Provider details
- NPI number
- 1558621367
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Jacks, President(870) 534-7546
- License
- E7442 (AR)
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
14 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
- 2012-05-26
- Last updated
- 2012-05-26
Frequently asked questions
- What is Jacks Dermatology P.A.'s NPI number?
- Jacks Dermatology P.A.'s National Provider Identifier (NPI) is 1558621367, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacks Dermatology P.A.?
- Jacks Dermatology P.A. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Jacks Dermatology P.A. located?
- Jacks Dermatology P.A.'s practice location on file with NPPES is 1710 W 42nd Ave, Pine Bluff, AR 71603-7008.
- What is Jacks Dermatology P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Jacks Dermatology P.A. is (870) 534-7546.
- Does Jacks Dermatology P.A. accept Medicare?
- Jacks Dermatology P.A. 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 Jacks Dermatology P.A.?
- The authorized official listed on Jacks Dermatology P.A.'s NPPES record is Jennifer Jacks, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacks Dermatology P.A.'s NPI active?
- Yes — Jacks Dermatology P.A.'s NPI (1558621367) is active in the NPPES registry as of the last update on 2012-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.