JACKSON BAKER EBER MD
NPI 1306533922
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Q: What is Jackson Eber's NPI number?

The NPI number for Jackson Eber is 1306533922. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Q: What is Jackson Eber's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Eber was last updated on April 24, 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.

Active since April 24, 2023PECOS Enrolled

1225 HARDING PL STE 3100, CHARLOTTE, NC 28204(704) 355-8686(704) 355-8687 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jackson Baker Eber Md NPPES

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

JACKSON BAKER EBER MD (NPI 1306533922) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306533922

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACKSON BAKER EBERCredential: MD

Location Address1225 HARDING PL STE 3100Charlotte, NC 28204-2826

Mailing Address3220 Cowden AveMemphis, TN 38111-3406 · (901) 832-1113

Phone(704) 355-8686

Fax(704) 355-8687

Sole ProprietorNo

Enumeration DateApril 24, 2023

NPPES CertifiedApril 24, 2023

✔ NPI 1306533922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1225 HARDING PL STE 3100, Charlotte, NC 28204

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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 Baker Eber Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 9

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

KAYLA SCHILLING GRAHAM

Student in an Organized Health Care Education/Training Program