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JORDAN JACKSON
NPI 1497419840
Student in an Organized Health Care Education/Training Program in Margate, FL

Active since October 22, 2021PECOS Enrolled
2801 N STATE ROAD 7, MARGATE, FL 33063(954) 205-1826 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2023, Oct 22, 2021 (2 updates tracked since 2021).

About Jordan Jackson NPPES

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

JORDAN JACKSON (NPI 1497419840) is an individual student in an organized health care education/training program in Margate, Florida and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497419840
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN JACKSON
Location Address2801 N STATE ROAD 7Margate, FL 33063-5727
Mailing Address227 E 35th StTulsa, OK 74105-2509 · (405) 473-5108
Phone(954) 205-1826
Sole ProprietorYes
Enumeration DateOctober 22, 2021
Last NPPES UpdateMarch 20, 20232 updates tracked since enumeration
NPPES CertifiedMarch 20, 2023
✔ NPI 1497419840 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.
2801 N STATE ROAD 7, Margate, FL 33063
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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)

Jordan Jackson 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 20

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

INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC
Pathology (Anatomic Pathology & Clinical Pathology)
2801 N STATE ROAD 7
MARGATE, FL 33063
Broward County (954) 978-4123
RONALD FLASTER MD
Pediatrics
2801 N STATE ROAD 7
MARGATE, FL 33063
Broward County (954) 974-0400
MR. JUAN CARLOS HIDALGO PA-C
Physician Assistant
2801 N STATE ROAD 7
MARGATE, FL 33063
Broward County (786) 595-3400
MERIDIAN EMERGENCY PHYSICIANS, LLC
Emergency Medicine
2801 N STATE ROAD 7
MARGATE, FL 33063
Broward County (469) 401-2386
DR. MAY NOKKAEW M.D.
Obstetrics & Gynecology
2801 N STATE ROAD 7
MARGATE, FL 33063
Broward County (954) 974-0400
NORTHWEST MEDICAL CENTER INC
General Acute Care Hospital
2801 N STATE ROAD 7
MARGATE, FL 33063
Broward County (954) 974-0400
DR. MARC STEVEN BEDRIN MD
Pediatrics
2801 N STATE ROAD 7
MARGATE, FL 33063
Broward County (954) 974-0400
JOSE JERSEY GONZALEZ HUERTAS M.D.
Internal Medicine (Critical Care Medicine)
2801 N STATE ROAD 7
MARGATE, FL 33063
Broward County (954) 974-0400

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 Jordan Jackson's NPI number?

The NPI number for Jordan Jackson is 1497419840. It was assigned to this individual provider in the NPPES registry on October 22, 2021.

Where is Jordan Jackson located?

Jordan Jackson practices at 2801 N State Road 7, Margate, FL 33063. The listed phone number is (954) 205-1826.

What is Jordan 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 Jordan Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jordan Jackson was last updated on March 20, 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.