STAR MEDICAL SPECIALTIES
NPI 1063580843
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition in Addison, TX

Q: What is Greg L Jackson's NPI number?

The NPI number for Greg L Jackson is 1063580843. It was assigned to this organization in the NPPES registry on December 1, 2006. The provider is doing business as Star Medical Specialties.

Q: What is Greg L Jackson's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Parenteral & Enteral Nutrition, with taxonomy code 332BP3500X.

Q: When was this NPI record last updated?

The NPPES record for Greg L Jackson was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 01, 2006

4386 SUNBELT DR, ADDISON, TX 75001(972) 380-2065(972) 380-9488 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Star Medical Specialties NPPES

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

STAR MEDICAL SPECIALTIES (NPI 1063580843) is a healthcare organization registered as a parenteral & enteral nutrition in Addison, Texas and active in the NPI registry since December 2006. The organization lists Greg L Jackson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063580843

Entity TypeOrganization

Primary Taxonomy332BP3500X

Legal Business NameGREG L JACKSON

Location Address4386 SUNBELT DRAddison, TX 75001

Mailing Address4386 Sunbelt DrAddison, TX 75001 · (972) 380-2065 · Fax (972) 380-9488

Phone(972) 380-2065

Fax(972) 380-9488

Organization SubpartNo

Authorized OfficialGreg L JacksonCeo · (972) 380-2065

Enumeration DateDecember 1, 2006

Last NPPES UpdateOctober 24, 2018

✔ NPI 1063580843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionSuppliers

Taxonomy Code332BP3500X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

4386 SUNBELT DR, Addison, TX 75001

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Other Names 1

Doing Business AsStar Medical Specialties

Other Identifiers 3

Medicaid011564401TX

Other010118001TX · Medicaid Ccp

Other0519596TX · Blue Cross Blue Shield

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Star Medical Specialties carries, from the Medicare DMEPOS supplier directory.

Star Medical Specialties

DMEPOS supplier · Addison, TXOperated by Star Formula Inc

✔

Accepts Medicare assignment

Star Medical Specialties agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20460143

Medicare Participant SinceSeptember 8, 2017

Supplier Location4386 Sunbelt DrAddison, TX 75001

Phone(800) 368-2065

Supplier Specialties

Medical Supply Company Other

Medicare Product Categories

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Blood Glucose Monitors/Supplies (Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Ultraviolet Light Devices and/or Supplies

Hand-held phototherapy devices, UV light therapy panels, Multidirectional light therapy

Ostomy Supplies

Pouches, Paste, Powder, Barrier wipes

Urological Supplies

Catheters, Urinary collection devices

Enteral Nutrients

Enteral formula

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

STAR FORMULA INC

Durable Medical Equipment & Medical Supplies

4386 SUNBELT DR
ADDISON, TX 75001

Dallas County (972) 380-2065

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 Greg L Jackson's NPI number?

The NPI number for Greg L Jackson is 1063580843. It was assigned to this organization in the NPPES registry on December 1, 2006. The provider is doing business as Star Medical Specialties.

Where is Greg L Jackson located?

Greg L Jackson is located at 4386 Sunbelt Dr, Addison, TX 75001. The listed phone number is (972) 380-2065.

What is Greg L Jackson's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Parenteral & Enteral Nutrition, with taxonomy code 332BP3500X.

Does Greg L Jackson accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Star Medical Specialties accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Greg L Jackson was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.