JAMES JACKSON, MD LLC
NPI 1558858068
Clinic/Center - Rehabilitation in Oklahoma City, OK

Active since April 19, 2018
3330 NW 56TH ST STE 612, OKLAHOMA CITY, OK 73112(405) 610-8810 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Jackson, Md Llc NPPES

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

JAMES JACKSON, MD LLC (NPI 1558858068) is a healthcare organization registered as a rehabilitation in Oklahoma City, Oklahoma and active in the NPI registry since April 2018. The organization lists Tawana Hill, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1558858068
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameJAMES JACKSON, MD LLC
Location Address3330 NW 56TH ST STE 612Oklahoma City, OK 73112-4470
Mailing Address13924 Quail Pointe Dr Ste BOklahoma City, OK 73134-1024 · (405) 896-7901 · Fax (405) 242-4074
Organization SubpartNo
Authorized OfficialTawana HillCredentialing Specialist · (405) 896-7901
Enumeration DateApril 19, 2018
NPI 1558858068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
License Licensed in OK · 27258
3330 NW 56TH ST STE 612, Oklahoma City, OK 73112

Other Identifiers 2

Medicaid202K00000XOK
Medicaid2019800000XOK

Other Providers at the Same Location NPPES 3

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

Anesthesiology
3330 NW 56TH ST STE 612
OKLAHOMA CITY, OK 73112
Anesthesiology
3330 NW 56TH ST STE 612
OKLAHOMA CITY, OK 73112
Obstetrics & Gynecology
3330 NW 56TH ST STE 612
OKLAHOMA CITY, OK 73112

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 James Jackson, MD LLC's NPI number?

The NPI number for James Jackson, MD LLC is 1558858068. It was assigned to this organization in the NPPES registry on April 19, 2018.

Where is James Jackson, MD LLC located?

James Jackson, MD LLC is located at 3330 NW 56th St Ste 612, Oklahoma City, OK 73112. The listed phone number is (405) 610-8810.

What is James Jackson, MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for James Jackson, MD LLC was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.