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DR. KEITH JACKSON PHD
NPI 1407491673
Home Health in Montgomery, AL

Active since November 12, 2019
2934 PELZER AVE, MONTGOMERY, AL 36109(334) 354-4651 Get Directions Write a Review

NPPES record last updated: December 18, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 18, 2019, Nov 12, 2019 (2 updates tracked since 2019).

About Dr. Keith Jackson Phd NPPES

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

DR. KEITH JACKSON PHD (NPI 1407491673) is an individual home health provider in Montgomery, Alabama and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1407491673
Entity TypeIndividualMale
Primary Taxonomy251E00000X
Provider Legal NameDR. KEITH JACKSONCredential: PHD
Location Address2934 PELZER AVEMontgomery, AL 36109-2147
Mailing Address2934 Pelzer AveMontgomery, AL 36109-2147 · (334) 649-6894 · Fax (334) 649-6894
Phone(334) 354-4651
Sole ProprietorYes
Enumeration DateNovember 12, 2019
Last NPPES UpdateDecember 18, 20192 updates tracked since enumeration
✔ NPI 1407491673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
2934 PELZER AVE, Montgomery, AL 36109
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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 Keith Jackson's NPI number?

The NPI number for Keith Jackson is 1407491673. It was assigned to this individual provider in the NPPES registry on November 12, 2019.

Where is Keith Jackson located?

Keith Jackson practices at 2934 Pelzer Ave, Montgomery, AL 36109. The listed phone number is (334) 354-4651.

What is Keith Jackson's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Keith Jackson was last updated on December 18, 2019. 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.