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JASON A. ZACKS, MD PC
NPI 1619163078
Clinic/Center - Primary Care in Dothan, AL

Active since September 19, 2007
1920 FAIRVIEW AVE, DOTHAN, AL 36301(334) 678-1400(334) 678-1432 Get Directions Write a Review

NPPES record last updated: September 19, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jason A. Zacks, Md Pc NPPES

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

JASON A. ZACKS, MD PC (NPI 1619163078) is a healthcare organization registered as a primary care in Dothan, Alabama and active in the NPI registry since September 2007. The organization lists Glenda A Jones, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1619163078
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJASON A. ZACKS, MD PC
Location Address1920 FAIRVIEW AVEDothan, AL 36301-3008
Mailing Address1920 Fairview AveDothan, AL 36301-3008 · (334) 678-1400 · Fax (334) 678-1432
Phone(334) 678-1400
Fax(334) 678-1432
Organization SubpartNo
Authorized OfficialGlenda A JonesOffice Manager · (334) 678-1400
Enumeration DateSeptember 19, 2007
✔ NPI 1619163078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in AL · G64013
1920 FAIRVIEW AVE, Dothan, AL 36301
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Other Identifiers 2

Medicare PINK711AL
Medicare UPING64013AL

Other Providers at the Same Location NPPES

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

DR. JASON ALAN ZACKS MD
Family Medicine
1920 FAIRVIEW AVE
DOTHAN, AL 36301
Houston County (334) 678-1400

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 Jason A. Zacks, MD PC's NPI number?

The NPI number for Jason A. Zacks, MD PC is 1619163078. It was assigned to this organization in the NPPES registry on September 19, 2007.

Where is Jason A. Zacks, MD PC located?

Jason A. Zacks, MD PC is located at 1920 Fairview Ave, Dothan, AL 36301. The listed phone number is (334) 678-1400.

What is Jason A. Zacks, MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Jason A. Zacks, MD PC was last updated on September 19, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.