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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACKSON NEUROSCIENCE CENTER
NPI 1043961170
Psychiatry & Neurology - Psychiatry in San Antonio, TX

Active since January 11, 2022
540 MADISON OAK DR STE 340, SAN ANTONIO, TX 78258(210) 830-4681(888) 894-2635 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2026, Aug 2, 2026, Aug 25, 2022 and 3 more (6 updates tracked since 2022).

About Jackson Neuroscience Center NPPES

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

JACKSON NEUROSCIENCE CENTER (NPI 1043961170) is a healthcare organization registered as a psychiatry in San Antonio, Texas and active in the NPI registry since January 2022. The organization maintains a secondary practice location in Sugar Land and lists Danny Vining, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1043961170
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameJACKSON NEUROSCIENCE CENTER
Location Address540 MADISON OAK DR STE 340San Antonio, TX 78258-3921
Mailing Address540 Madison Oak Dr Ste 340San Antonio, TX 78258-3921 · (201) 830-4681 · Fax (888) 894-2635
Phone(210) 830-4681
Fax(888) 894-2635
Organization SubpartNo
Authorized OfficialDanny ViningPractice Manager · (601) 214-9385
Enumeration DateJanuary 11, 2022
Last NPPES UpdateOctober 9, 20266 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1043961170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
540 MADISON OAK DR STE 340, San Antonio, TX 78258
Open in Google Maps ↗

Secondary Practice Location 1

Location 16514 Highway 90A Ste 101Sugar Land, TX 77498-2120 · Phone (281) 915-2370 · Fax (281) 915-2374

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Neuroscience Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Jackson Neuroscience Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Daniel Jemison, PMHNP-BC
Nurse Practitioner
NPI 1699296509
540 MADISON OAK DR STE 340
San Antonio, TX 78258
(210) 830-4681
✔ PECOS✔ Accepts MedicareSame address
Sayed Raza, MD
Psychiatry
NPI 1699785188
540 MADISON OAK DR STE 340
San Antonio, TX 78258
(210) 830-4681
✔ PECOSSame address
Danny Vining, PMHNP
Nurse Practitioner
NPI 1306175138
540 MADISON OAK DR STE 340
San Antonio, TX 78258
(281) 915-2370
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jackson Neuroscience Center's NPI number?

The NPI number for Jackson Neuroscience Center is 1043961170. It was assigned to this organization in the NPPES registry on January 11, 2022.

Where is Jackson Neuroscience Center located?

Jackson Neuroscience Center is located at 540 Madison Oak Dr Ste 340, San Antonio, TX 78258. The listed phone number is (210) 830-4681.

What is Jackson Neuroscience Center's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jackson Neuroscience Center enrolled in Medicare?

Yes. Jackson Neuroscience Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jackson Neuroscience Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Jackson Neuroscience Center, in Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jackson Neuroscience Center accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Jackson Neuroscience Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackson Neuroscience Center was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.