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JACKSON STREET PEDIATRICS, LLC
NPI 1205454774
Pediatrics in Alexandria, LA

Active since July 10, 2020
5716 JACKSON ST, ALEXANDRIA, LA 71303(318) 767-6503(318) 703-8257 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Street Pediatrics, Llc NPPES

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

JACKSON STREET PEDIATRICS, LLC (NPI 1205454774) is a healthcare organization registered as a pediatrics in Alexandria, Louisiana and active in the NPI registry since July 2020. The organization lists Kai A Wicker-brown, Owner, as its authorized official.

NPPES Registry Identity

NPI1205454774
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameJACKSON STREET PEDIATRICS, LLC
Location Address5716 JACKSON STAlexandria, LA 71303-2042
Mailing Address6326 Windy OaksAlexandria, LA 71301-2966 · (313) 300-3637
Phone(318) 767-6503
Fax(318) 703-8257
Organization SubpartNo
Authorized OfficialKai A Wicker-brownOwner · (313) 300-3637
Enumeration DateJuly 10, 2020
NPPES CertifiedJuly 10, 2020
✔ NPI 1205454774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5716 JACKSON ST, Alexandria, LA 71303
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES

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

MRS. KAI ALEXANDRIA WICKER BROWN MD
Pediatrics
5716 JACKSON ST
ALEXANDRIA, LA 71303
Rapides Parish (318) 767-6503

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 Street Pediatrics, LLC's NPI number?

The NPI number for Jackson Street Pediatrics, LLC is 1205454774. It was assigned to this organization in the NPPES registry on July 10, 2020.

Where is Jackson Street Pediatrics, LLC located?

Jackson Street Pediatrics, LLC is located at 5716 Jackson St, Alexandria, LA 71303. The listed phone number is (318) 767-6503.

What is Jackson Street Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Jackson Street Pediatrics, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Jackson Street Pediatrics, LLC 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 Street Pediatrics, LLC was last updated on July 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.