OrganizationActive
Jason A. Zacks, MD PC
NPI 1619163078 · Primary Care Clinic/Center · Dothan, AL
Jason A. Zacks, MD PC is a Primary Care Clinic/Center organization in Dothan, AL (NPI 1619163078).
Provider details
- NPI number
- 1619163078
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Glenda Jones, Office Manager(334) 678-1400
- License
- G64013 (AL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1920 Fairview Ave
Dothan, AL 36301-3008
Phone: (334) 678-1400
Fax: (334) 678-1432
Street-level locationGet directions
Mailing address
1920 Fairview Ave
Dothan, AL 36301-3008
Registry dates
- Enumerated
- 2007-09-19
- Last updated
- 2007-09-19
Frequently asked questions
- What is Jason A. Zacks, MD PC's NPI number?
- Jason A. Zacks, MD PC's National Provider Identifier (NPI) is 1619163078, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jason A. Zacks, MD PC?
- Jason A. Zacks, MD PC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jason A. Zacks, MD PC located?
- Jason A. Zacks, MD PC's practice location on file with NPPES is 1920 Fairview Ave, Dothan, AL 36301-3008.
- What is Jason A. Zacks, MD PC's phone number?
- The practice phone number listed in the NPPES registry for Jason A. Zacks, MD PC is (334) 678-1400.
- Who is the authorized official for Jason A. Zacks, MD PC?
- The authorized official listed on Jason A. Zacks, MD PC's NPPES record is Glenda Jones, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jason A. Zacks, MD PC's NPI active?
- Yes — Jason A. Zacks, MD PC's NPI (1619163078) is active in the NPPES registry as of the last update on 2007-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.