IndividualActive
Leslie Jackson, MD
NPI 1649320904 · Family Medicine Physician · Taylorville, IL
Leslie Jackson, MD is a Family Medicine Physician provider in Taylorville, IL (NPI 1649320904).
Provider details
- NPI number
- 1649320904
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 036072876 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
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
404 E Main Cross St
Taylorville, IL 62568-2656
Phone: (217) 824-3758
Fax: (217) 824-3758
Street-level locationGet directions
Mailing address
404 E Main Cross St
Taylorville, IL 62568-2656
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2010-04-13
Frequently asked questions
- What is Leslie Jackson's NPI number?
- Leslie Jackson's National Provider Identifier (NPI) is 1649320904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Leslie Jackson's specialty?
- Leslie Jackson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Leslie Jackson located?
- Leslie Jackson's practice location on file with NPPES is 404 E Main Cross St, Taylorville, IL 62568-2656.
- What is Leslie Jackson's phone number?
- The practice phone number listed in the NPPES registry for Leslie Jackson is (217) 824-3758.
- Is Leslie Jackson's NPI active?
- Yes — Leslie Jackson's NPI (1649320904) is active in the NPPES registry as of the last update on 2010-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.