Edward Jackson, M.D.
NPI 1639104029 · Family Medicine Physician · Orlando, FL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edward Jackson, M.D. is a Family Medicine Physician provider in Orlando, FL (NPI 1639104029).
Provider details
- NPI number
- 1639104029
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4301046128 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
- 2006-07-12
- Last updated
- 2022-07-21
Frequently asked questions
- What is Edward Jackson's NPI number?
- Edward Jackson's National Provider Identifier (NPI) is 1639104029, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edward Jackson's specialty?
- Edward Jackson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Edward Jackson located?
- Edward Jackson's practice location on file with NPPES is 7975 Lake Underhill Rd Ste 200, Orlando, FL 32822-8204.
- What is Edward Jackson's phone number?
- The practice phone number listed in the NPPES registry for Edward Jackson is (407) 303-6830.
- Does Edward Jackson accept Medicare?
- Edward Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edward Jackson's NPI active?
- Yes — Edward Jackson's NPI (1639104029) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.