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STALEY THOMAS JACKSON M.D.
NPI 1225091408
Orthopaedic Surgery in Lumberton, NC

Active since April 10, 2006
2934 N ELM ST STE B1, LUMBERTON, NC 28358(910) 272-1175(910) 272-1176 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2020, Dec 4, 2017 (2 updates tracked since 2017).

About Staley Thomas Jackson M.d. NPPES

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

STALEY THOMAS JACKSON M.D. (NPI 1225091408) is an individual orthopaedic surgery provider in Lumberton, North Carolina, licensed in North Carolina (38362) and active in the NPI registry since April 2006. He maintains a secondary practice location in Lumberton.

NPPES Registry Identity

NPI1225091408
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSTALEY THOMAS JACKSONCredential: M.D.
Location Address2934 N ELM ST STE B1Lumberton, NC 28358-2986
Mailing Address2002 N Cedar St Ste BLumberton, NC 28358-3926 · (910) 272-3048 · Fax (910) 738-3764
Phone(910) 272-1175
Fax(910) 272-1176
Sole ProprietorNo
Enumeration DateApril 10, 2006
Last NPPES UpdateNovember 3, 20202 updates tracked since enumeration
NPPES CertifiedNovember 3, 2020
✔ NPI 1225091408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NC · 38362
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2934 N ELM ST STE B1, Lumberton, NC 28358
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Secondary Practice Location 1

Location 1500 W 27th StLumberton, NC 28358-3021 · Phone (910) 272-9675 · Fax (910) 272-9276

Other Identifiers 2

Other45569NC · Bcbs
Medicaid7945569NC

Other Providers at the Same Location NPPES

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

ANNETTE BRUCE WALLWORK F.N.P.
Nurse Practitioner (Family)
2934 N ELM ST STE B1
LUMBERTON, NC 28358
Robeson County (910) 272-9675

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 Staley Jackson's NPI number?

The NPI number for Staley Jackson is 1225091408. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Staley Jackson located?

Staley Jackson practices at 2934 N Elm St Ste B1, Lumberton, NC 28358. The listed phone number is (910) 272-1175.

What is Staley Jackson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Staley Jackson was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.