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JACKSON SON
NPI 1265291272
Nurse Practitioner - Family in Annandale, VA

Active since March 13, 2024PECOS Enrolled
5039 AMERICANA DR, ANNANDALE, VA 22003(571) 524-0881 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackson Son NPPES

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

JACKSON SON (NPI 1265291272) is an individual family provider in Annandale, Virginia, licensed in Virginia (0024189383) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265291272
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJACKSON SON
Location Address5039 AMERICANA DRAnnandale, VA 22003-5068
Mailing Address5039 Americana DrAnnandale, VA 22003-5068 · (571) 524-0881
Phone(571) 524-0881
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 13, 2024
Last NPPES UpdateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
✔ NPI 1265291272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024189383
5039 AMERICANA DR, Annandale, VA 22003
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Other Names 1

Other Name (5)Jackson Son Fnp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Son is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496275877
PECOS Enrollment IDI20260512004584
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

LOTUS HOME HEALTH CARE LLC
In Home Supportive Care
5039 AMERICANA DR
ANNANDALE, VA 22003
Fairfax County (571) 524-0881

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 Son's NPI number?

The NPI number for Jackson Son is 1265291272. It was assigned to this individual provider in the NPPES registry on March 13, 2024. The provider is also known as Jackson Son Fnp.

Where is Jackson Son located?

Jackson Son practices at 5039 Americana Dr, Annandale, VA 22003. The listed phone number is (571) 524-0881.

What is Jackson Son's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jackson Son enrolled in Medicare?

Yes. Jackson Son is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackson Son was last updated on November 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.