DR. JASON ALAN ZACKS MD
NPI 1093710626
Family Medicine in Dothan, AL

Active since June 20, 2005
1920 FAIRVIEW AVE, DOTHAN, AL 36301(334) 678-1400(334) 678-1432 Get Directions Write a Review

NPPES record last updated: August 16, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jason Alan Zacks Md NPPES

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

DR. JASON ALAN ZACKS MD (NPI 1093710626) is an individual family medicine provider in Dothan, Alabama, licensed in Alabama (24494) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1093710626
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JASON ALAN ZACKSCredential: MD
Location Address1920 FAIRVIEW AVEDothan, AL 36301-3008
Mailing Address1920 Fairview AveDothan, AL 36301-3008 · (334) 678-1400 · Fax (334) 678-1432
Fax(334) 678-1432
Sole ProprietorNo
Enumeration DateJune 20, 2005
Last NPPES UpdateAugust 16, 2007
NPI 1093710626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AL · 24494
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1920 FAIRVIEW AVE, Dothan, AL 36301

Other Identifiers 3

Medicare UPING64013
Medicare PINK711
Medicare ID-Type Unspecified51506924

Other Providers at the Same Location NPPES

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

Clinic/Center (Primary Care)
1920 FAIRVIEW AVE
DOTHAN, AL 36301

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 Jason Zacks's NPI number?

The NPI number for Jason Zacks is 1093710626. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Jason Zacks located?

Jason Zacks practices at 1920 Fairview Ave, Dothan, AL 36301. The listed phone number is (334) 678-1400.

What is Jason Zacks's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jason Zacks was last updated on August 16, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.