ISAIAH WILLIAM JACKSON MD
NPI 1043062375
Military Health Care Provider in Portsmouth, VA
About Isaiah William Jackson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ISAIAH WILLIAM JACKSON MD (NPI 1043062375) is an individual military health care provider provider in Portsmouth, Virginia and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Isaiah William Jackson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTSMOUTH, VA 23708
PORTSMOUTH, VA 23708
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Isaiah Jackson's NPI number?
The NPI number for Isaiah Jackson is 1043062375. It was assigned to this individual provider in the NPPES registry on April 2, 2024.
Where is Isaiah Jackson located?
Isaiah Jackson practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-1814.
What is Isaiah Jackson's specialty?
The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.
Is Isaiah Jackson enrolled in Medicare?
Yes. Isaiah Jackson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Isaiah Jackson was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Isaiah William Jackson, MD · NPI 1043062375
Military Health Care Provider provider in Portsmouth, Virginia. Individual provider, active in the CMS NPPES registry since April 2, 2024.
## Identity
- **NPI:** 1043062375 (Entity type: Individual)
- **Enumerated:** April 2, 2024
- **Primary specialty:** Military Health Care Provider · taxonomy 171000000X
- **Sole proprietor:** No
## Practice location
- **Address:** 620 JOHN PAUL JONES CIR, Portsmouth, VA 23708-2111
- **Phone:** (757) 953-1814
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1043062375) · Data from the CMS NPPES public registry.