MARK A JACKSON
NPI 1013622687
Clinic/Center - Radiology in Gainesville, FL

The NPI number for Mark Jackson is 1013622687. It was assigned to this individual provider in the NPPES registry on January 18, 2023.

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

The NPPES record for Mark Jackson was last updated on January 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 18, 2023

4340 NEWBERRY RD STE 104, GAINESVILLE, FL 32607(352) 377-3100(352) 377-1286 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Mark A Jackson NPPES

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

MARK A JACKSON (NPI 1013622687) is an individual radiology provider in Gainesville, Florida and active in the NPI registry since January 2023.

NPI1013622687

Entity TypeIndividualMale

Primary Taxonomy261QR0200X

Provider Legal NameMARK A JACKSON

Location Address4340 NEWBERRY RD STE 104Gainesville, FL 32607-2557

Mailing Address3321 Nw 53rd TerGainesville, FL 32606-6920 · (660) 287-7997

Fax(352) 377-1286

Sole ProprietorYes

Enumeration DateJanuary 18, 2023

NPPES CertifiedJanuary 18, 2023

✔ NPI 1013622687 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities

Taxonomy Code261QR0200X

4340 NEWBERRY RD STE 104, Gainesville, FL 32607

Leave this field empty

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

Clinic/Center (Radiology)