What is Jeremiah Jackson's NPI number?

Jeremiah Jackson's National Provider Identifier (NPI) is 1588315980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jeremiah Jackson's specialty?

Jeremiah Jackson is listed in the NPPES registry with a primary specialty of Community/Behavioral Health Agency (Agencies).

Where is Jeremiah Jackson located?

Jeremiah Jackson's practice location on file with NPPES is 14253 W Aster Dr, Surprise, AZ 85379-5505.

What is Jeremiah Jackson's phone number?

The practice phone number listed in the NPPES registry for Jeremiah Jackson is (205) 420-8155.

Is Jeremiah Jackson's NPI active?

Yes — Jeremiah Jackson's NPI (1588315980) is active in the NPPES registry as of the last update on 2022-01-17.

IndividualActive

Jeremiah Jackson

NPI 1588315980 · Community/Behavioral Health Agency · Surprise, AZ

Jeremiah Jackson is a Community/Behavioral Health Agency provider in Surprise, AZ (NPI 1588315980).

Provider details

NPI number: 1588315980
Entity type: Individual
Primary specialty: Community/Behavioral Health AgencyAgencies
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Community/Behavioral Health AgencyPrimary251S00000X
Agencies

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 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

14253 W Aster Dr

Surprise, AZ 85379-5505

Phone: (205) 420-8155

Street-level locationGet directions

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Mailing address