Logan Jackson, MD
NPI 1740817261 · Diagnostic Radiology Physician · Charlotte, NC
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Logan Jackson, MD is a Diagnostic Radiology Physician provider in Charlotte, NC (NPI 1740817261).
Provider details
- NPI number
- 1740817261
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- LL84285 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
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
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 251 E Huron StChicago, IL 60611-3055Phone: (312) 695-4447
- 1215 Lee StCharlottesville, VA 22908-3055Phone: (434) 924-9400
Registry dates
- Enumerated
- 2020-03-25
- Last updated
- 2025-11-03
- Certified
- 2025-11-03
Frequently asked questions
- What is Logan Jackson's NPI number?
- Logan Jackson's National Provider Identifier (NPI) is 1740817261, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Logan Jackson's specialty?
- Logan Jackson is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Logan Jackson located?
- Logan Jackson's practice location on file with NPPES is 3623 Latrobe Dr Ste 216, Charlotte, NC 28211-2117.
- What is Logan Jackson's phone number?
- The practice phone number listed in the NPPES registry for Logan Jackson is (704) 332-1291.
- Does Logan Jackson accept Medicare?
- Logan Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Logan Jackson's NPI active?
- Yes — Logan Jackson's NPI (1740817261) is active in the NPPES registry as of the last update on 2025-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.