Mersedes Jackson, DDS
NPI 1639664527 · Dentist · Fort Gregg-Adams, VA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mersedes Jackson, DDS is a Dentist provider in Fort Gregg-Adams, VA (NPI 1639664527).
Provider details
- NPI number
- 1639664527
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0401416895 (VA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- 2018-06-25
- Last updated
- 2024-11-07
- Certified
- 2024-11-04
Frequently asked questions
- What is Mersedes Jackson's NPI number?
- Mersedes Jackson's National Provider Identifier (NPI) is 1639664527, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mersedes Jackson's specialty?
- Mersedes Jackson is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Mersedes Jackson located?
- Mersedes Jackson's practice location on file with NPPES is Kenner Army Health Clinic, Fort Gregg-Adams, VA 23801.
- What is Mersedes Jackson's phone number?
- The practice phone number listed in the NPPES registry for Mersedes Jackson is (804) 734-5365.
- Does Mersedes Jackson accept Medicare?
- Mersedes Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mersedes Jackson's NPI active?
- Yes — Mersedes Jackson's NPI (1639664527) is active in the NPPES registry as of the last update on 2024-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.