DR. BLAKE BALLARD JACKSON MD
NPI 1235833757
Student in an Organized Health Care Education/Training Program in Lexington, KY
About Dr. Blake Ballard Jackson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BLAKE BALLARD JACKSON MD (NPI 1235833757) is an individual student in an organized health care education/training program in Lexington, Kentucky and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Blake Ballard Jackson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEXINGTON, KY 40536
LEXINGTON, KY 40536
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 Blake Jackson's NPI number?
The NPI number for Blake Jackson is 1235833757. It was assigned to this individual provider in the NPPES registry on March 28, 2023.
Where is Blake Jackson located?
Blake Jackson practices at 800 Rose St Mn 275, Lexington, KY 40536. The listed phone number is (859) 373-6162.
What is Blake Jackson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Blake Jackson enrolled in Medicare?
Yes. Blake Jackson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Blake Jackson was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Blake Ballard Jackson, MD · NPI 1235833757
Student in an Organized Health Care Education/Training Program provider in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since March 28, 2023.
## Identity
- **NPI:** 1235833757 (Entity type: Individual)
- **Enumerated:** March 28, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 800 ROSE ST, MN 275, Lexington, KY 40536-0293
- **Phone:** (859) 373-6162
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1235833757) · Data from the CMS NPPES public registry.