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TRAVIS HAROLD JACKSON MD
NPI 1043256126
Psychiatry & Neurology - Neurology in Winston-salem, NC

Active since June 20, 2006
145 KIMEL PARK DR, SUITE 100, WINSTON-SALEM, NC 27103(336) 768-6347(336) 760-9393 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Travis Harold Jackson Md NPPES

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

TRAVIS HAROLD JACKSON MD (NPI 1043256126) is an individual neurology provider in Winston-salem, North Carolina, licensed in North Carolina (0000-20148) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1043256126
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameTRAVIS HAROLD JACKSONCredential: MD
Location Address145 KIMEL PARK DR, SUITE 100Winston-salem, NC 27103-6983
Mailing Address1701 Westchester Drive, Suite 850High Point, NC 27262-7254 · (336) 802-2400 · Fax (336) 802-2534
Phone(336) 768-6347
Fax(336) 760-9393
Sole ProprietorNo
Enumeration DateJune 20, 2006
Last NPPES UpdateMarch 4, 2011
✔ NPI 1043256126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NC · 0000-20148
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
145 KIMEL PARK DR, Winston-salem, NC 27103
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Other Identifiers 4

Medicaid8945571NC
OtherP00288396NC · Railroad Medicare
Medicare UPINC84690NC
Medicare PIN207533KNC

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.

YETTA HARDY CLARK CRNA
Nurse Anesthetist, Certified Registered
145 KIMEL PARK DR, SUITE 300
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3212
CARIE SUE NUNLEY CRNA
Nurse Anesthetist, Certified Registered
145 KIMEL PARK DR, SUITE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3212
HOLLY C PEGRAM CRNA
Nurse Anesthetist, Certified Registered
145 KIMEL PARK DR, SUITE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3212
PEGGY B BRANCH CRNA
Nurse Anesthetist, Certified Registered
145 KIMEL PARK DR, SUITE 300
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3212
MARCUS ANTHONY HELMS CRNA
Nurse Anesthetist, Certified Registered
145 KIMEL PARK DR, SUITE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3212
PEGGY LEE JONES CRNA
Nurse Anesthetist, Certified Registered
145 KIMEL PARK DR, SUITE 300
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3212
BENJAMIN JOSEPH BOEHNLEIN CRNA
Nurse Anesthetist, Certified Registered
145 KIMEL PARK DR, SUITE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3212
KRISTINA LOUISE FOARD CRNA
Nurse Anesthetist, Certified Registered
145 KIMEL PARK DR, SUITE 120
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3212

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 Travis Jackson's NPI number?

The NPI number for Travis Jackson is 1043256126. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Travis Jackson located?

Travis Jackson practices at 145 Kimel Park Dr Suite 100, Winston-Salem, NC 27103. The listed phone number is (336) 768-6347.

What is Travis Jackson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Travis Jackson was last updated on March 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.