IndividualActive
Derrick Jackson
NPI 1578261475 · Community Health Worker · Matteson, IL
Derrick Jackson is a Community Health Worker provider in Matteson, IL (NPI 1578261475).
Provider details
- NPI number
- 1578261475
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% 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
4801 Southwick Dr Ste 300
Matteson, IL 60443-2279
Phone: (708) 747-2655
Street-level locationGet directions
Mailing address
1801 Watermark Dr
Columbus, OH 43215-7088
Registry dates
- Enumerated
- 2023-02-20
- Last updated
- 2023-02-20
- Certified
- 2023-02-20
Frequently asked questions
- What is Derrick Jackson's NPI number?
- Derrick Jackson's National Provider Identifier (NPI) is 1578261475, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrick Jackson's specialty?
- Derrick Jackson is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Derrick Jackson located?
- Derrick Jackson's practice location on file with NPPES is 4801 Southwick Dr Ste 300, Matteson, IL 60443-2279.
- What is Derrick Jackson's phone number?
- The practice phone number listed in the NPPES registry for Derrick Jackson is (708) 747-2655.
- Is Derrick Jackson's NPI active?
- Yes — Derrick Jackson's NPI (1578261475) is active in the NPPES registry as of the last update on 2023-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.