CHARLES DAVID JACKSON MD
NPI 1508800665
Pediatrics in Fayetteville, AR

Active since June 16, 2006
3380 N FUTRALL DR STE 1, FAYETTEVILLE, AR 72703(479) 442-7322(479) 442-7379 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2021, Jun 20, 2018 (2 updates tracked since 2018).

About Charles David Jackson Md NPPES

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

CHARLES DAVID JACKSON MD (NPI 1508800665) is an individual pediatrics provider in Fayetteville, Arkansas, licensed in Arkansas (C-6427) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1508800665
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameCHARLES DAVID JACKSONCredential: MD
Location Address3380 N FUTRALL DR STE 1Fayetteville, AR 72703
Mailing AddressPo Box 1523Fayetteville, AR 72702-1523 · (479) 571-6038 · Fax (479) 582-0222
Fax(479) 442-7379
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateDecember 29, 20212 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
NPI 1508800665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in AR · C-6427
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3380 N FUTRALL DR STE 1, Fayetteville, AR 72703

Other Identifiers 2

Medicaid113041001AR
Other51110AR · Ar Bc/bs

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.

Pediatrics
3380 N FUTRALL DR STE 1
FAYETTEVILLE, AR 72703
Pediatrics
3380 N FUTRALL DR STE 1
FAYETTEVILLE, AR 72703
Pediatrics
3380 N FUTRALL DR STE 1
FAYETTEVILLE, AR 72703
Pediatrics
3380 N FUTRALL DR STE 1
FAYETTEVILLE, AR 72703
Pediatrics
3380 N FUTRALL DR STE 1
FAYETTEVILLE, AR 72703
Pediatrics
3380 N FUTRALL DR STE 1
FAYETTEVILLE, AR 72703
Nurse Practitioner (Psychiatric/Mental Health)
3380 N FUTRALL DR STE 1
FAYETTEVILLE, AR 72703
Pediatrics
3380 N FUTRALL DR STE 1
FAYETTEVILLE, AR 72703

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 Charles Jackson's NPI number?

The NPI number for Charles Jackson is 1508800665. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Charles Jackson located?

Charles Jackson practices at 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703. The listed phone number is (479) 442-7322.

What is Charles Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Charles Jackson was last updated on December 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.