Derek Jackson, PA
NPI 1811979123 · Medical Physician Assistant · Orlando, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derek Jackson, PA is a Medical Physician Assistant provider in Orlando, FL (NPI 1811979123).
Provider details
- NPI number
- 1811979123
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA9101356 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2005-11-14
- Last updated
- 2007-07-08
Frequently asked questions
- What is Derek Jackson's NPI number?
- Derek Jackson's National Provider Identifier (NPI) is 1811979123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Jackson's specialty?
- Derek Jackson is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Derek Jackson located?
- Derek Jackson's practice location on file with NPPES is 601 E Rollins St, Orlando, FL 32803-1248.
- What is Derek Jackson's phone number?
- The practice phone number listed in the NPPES registry for Derek Jackson is (407) 303-5600.
- Does Derek Jackson accept Medicare?
- Derek Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derek Jackson's NPI active?
- Yes — Derek Jackson's NPI (1811979123) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.