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DAVID STONE JACKSON JR. MD
NPI 1457335416
Family Medicine in Winston Salem, NC

Active since December 02, 2005
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-2255 Get Directions Write a Review

NPPES record last updated: March 25, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About David Stone Jackson Jr. Md NPPES

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

DAVID STONE JACKSON JR. MD (NPI 1457335416) is an individual family medicine provider in Winston Salem, North Carolina, licensed in North Carolina (18663) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1457335416
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID STONE JACKSON JR.Credential: MD
Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-0001
Mailing AddressPo Box 344Winston Salem, NC 27102-0344 · (336) 716-2255
Phone(336) 716-2255
Sole ProprietorNo
Enumeration DateDecember 2, 2005
Last NPPES UpdateMarch 25, 2014
✔ NPI 1457335416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 18663
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
MEDICAL CENTER BLVD, Winston Salem, NC 27157
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Other Identifiers 9

Other5145NC · Partners
Medicaid8945508NC
Other25848NC · Medcost
Other5489254Aetna
Other45508NC · Bcbs
Medicaid2005640000WV
Medicare PIN2075277ANC
Medicaid7311559VA
MedicaidQ18663SC

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.

CRAIG MICHAEL COMBS MD
Anesthesiology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255
MR. KAMRON YORK BENFIELD PA
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4838
ANDREA WHITLEY PEYTON PA-C
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
AMR SHERIF MOHAMED RIFAA EL HARAKI MD
Obstetrics & Gynecology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255
DR. MICHAEL JOSEPH MCCORMACK JR. M.D.
Internal Medicine (Hematology & Oncology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255
RANDALL STEPHAN CONRAD MD
Hospitalist
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4305
NICHOLAS RYAN TUTTLE CRNA
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 409-1797
DR. ANALICIA MARIE ALVARADO MD
Internal Medicine (Nephrology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255

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 David Jackson's NPI number?

The NPI number for David Jackson is 1457335416. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is David Jackson located?

David Jackson practices at Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 716-2255.

What is David Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for David Jackson was last updated on March 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.