Kevin Jackson, M.D

ActiveIndividual ProviderFamily Medicine
NPI issued: June 11, 2005

Quick Facts

NPI Number
1225032782
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207QG0300X — Family Medicine
Phone
(602) 830-0605
StateAZ

NPI Validation Status: Verified

Valid 10-digit NPI number (1225032782)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 11, 2005)
Data source: CMS NPPES

Provider Overview

KEVIN JACKSON, M.D is a Family Medicine provider based in Phoenix, AZ who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1225032782
Provider TypeIndividual Provider
GenderMale
CredentialM.D
StatusActive
Enumeration DateJune 11, 2005

Practice Location

CityPhoenix
StateAZ
ZIP Code85020-4446
Phone(602) 830-0605

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207QG0300X
License StateAZ

Mailing Address

CityPhoenix
StateAZ
ZIP Code85020-4446
Phone(602) 830-0605
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1225032782 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1225032782for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1225032782 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

📊
2,980
Family Medicine Providers in the US

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People Also Ask

What is Kevin Jackson's NPI number?
Kevin Jackson's NPI number is 1225032782, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Kevin Jackson's NPI currently active?
Yes, Kevin Jackson's NPI status is Active as of the latest CMS NPPES database updates.
What does Kevin Jackson specialize in?
Kevin Jackson specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207QG0300X.
Where does Kevin Jackson practice?
Kevin Jackson practices in Phoenix, AZ 85020-4446.
When was Kevin Jackson's NPI issued?
Kevin Jackson's NPI was issued on June 11, 2005.
What is Kevin Jackson's provider type?
Kevin Jackson is registered as an Individual Provider under CMS NPI Type 1.