WHITNEY ELIZABETH JACKSON MD - NPI 1003519851 - Student in an Organized Health Care Education/Training Program in Gainesville, FL

Q: What is Whitney Jackson's NPI number?

The NPI number for Whitney Jackson is 1003519851. It was assigned to this individual provider in the NPPES registry on March 22, 2023. The provider is also known as Whitney Elizabeth Grier.

Q: What is Whitney Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Whitney Jackson was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Whitney Elizabeth Jackson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITNEY ELIZABETH JACKSON MD (NPI 1003519851) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003519851

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameWHITNEY ELIZABETH JACKSONCredential: MD

Location Address1600 SW ARCHER RD RM 4101Gainesville, FL 32610-3003

Mailing Address1600 Sw Archer Rd Rm 4101Gainesville, FL 32610-3003 · (352) 265-0239 · Fax (352) 265-1107

Phone(352) 265-0239

Fax(352) 265-1107

Sole ProprietorNo

Enumeration DateMarch 22, 2023

NPPES CertifiedMarch 22, 2023

✔ NPI 1003519851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1600 SW ARCHER RD RM 4101, Gainesville, FL 32610

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Other Names 1

Former Name (1)Whitney Elizabeth Grier

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Whitney Elizabeth Jackson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAYMOND WILLIAM RICHHART MD

Internal Medicine (Gastroenterology)