IndividualActive
Adam Jackson, MD
NPI 1922465350 · Diagnostic Radiology Physician · Charlottesville, VA
Provider details
- NPI number
- 1922465350
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01079027A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
1215 Lee St
Charlottesville, VA 22908-5641
Phone: (434) 924-9400
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 749112
Atlanta, GA 30374-9112
Additional practice locations (1)
- 1061 Harmon AveFort Stewart, GA 31314-5641Phone: (912) 435-6965
Registry dates
- Enumerated
- 2016-01-14
- Last updated
- 2025-06-30
- Certified
- 2025-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.