CHAD EDWIN JACKSON MS, ATC
NPI 1518484245
Preventive Medicine - Sports Medicine in Fort Myers, FL
NPI Status: Active since August 24, 2017
Contact Information
14110 SIX MILE CYPRESS PKWY
FORT MYERS, FL
ZIP 33912
Phone: (239) 479-6411
Fax: (239) 768-2032
- Individual
- Male
- Preventive Medicine
- Sports Medicine
About CHAD JACKSON
This page provides the complete NPI Profile along with additional information for Chad Jackson, a provider established in Fort Myers, Florida with a medical specialization in Preventive Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1518484245 assigned on August 2017. The practitioner's primary taxonomy code is 2083S0010X with license number AL2986 (FL). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1518484245
- Provider Name
- CHAD EDWIN JACKSON MS, ATC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 14110 SIX MILE CYPRESS PKWY FORT MYERS, FL 33912
- Location Phone
- (239) 479-6411
- Location Fax
- (239) 768-2032
- Mailing Address
- 618 SE 3RD ST CAPE CORAL, FL 33990
- Mailing Phone
- (239) 292-7669
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-24-2017
- Last Update Date
- 08-24-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Preventive Medicine Sports Medicine
- Taxonomy Code
- 2083S0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- AL2986
- License State
- FL
- Taxonomy Description
- A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1518484245, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 75 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
FORT MYERS, FL 33912
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518484245, enumerated as an "individual" on August 24, 2017.
The provider is located at 14110 SIX MILE CYPRESS PKWY FORT MYERS, FL 33912 and the phone number is (239) 479-6411.
Preventive Medicine with taxonomy code 2083S0010X and a focus in Sports Medicine.
