Jackson Family Medicine, LLC
NPI 1780825224 · Primary Care Clinic/Center · Waldorf, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Family Medicine, LLC is a Primary Care Clinic/Center organization in Waldorf, MD (NPI 1780825224).
Provider details
- NPI number
- 1780825224
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dainty Jackson, Doctor(301) 885-3350
- License
- H0058218 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- 2009-03-12
- Last updated
- 2009-03-12
Frequently asked questions
- What is Jackson Family Medicine, LLC's NPI number?
- Jackson Family Medicine, LLC's National Provider Identifier (NPI) is 1780825224, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Family Medicine, LLC?
- Jackson Family Medicine, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jackson Family Medicine, LLC located?
- Jackson Family Medicine, LLC's practice location on file with NPPES is 10 Saint Patricks Dr, Waldorf, MD 20603-4527.
- What is Jackson Family Medicine, LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Family Medicine, LLC is (301) 885-3350.
- Does Jackson Family Medicine, LLC accept Medicare?
- Jackson Family Medicine, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jackson Family Medicine, LLC?
- The authorized official listed on Jackson Family Medicine, LLC's NPPES record is Dainty Jackson, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Family Medicine, LLC's NPI active?
- Yes — Jackson Family Medicine, LLC's NPI (1780825224) is active in the NPPES registry as of the last update on 2009-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.