NNEKA SAFIYA EDWARDS-JACKSON M.D.
NPI 1639461734
Pediatrics in Phoenix, AZ

Q: What is Nneka Edwards-jackson's NPI number?

The NPI number for Nneka Edwards-jackson is 1639461734. It was assigned to this individual provider in the NPPES registry on May 7, 2011.

Q: What is Nneka Edwards-jackson's specialty?

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

Active since May 07, 2011PECOS Enrolled

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0777 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 28, 2023, Jul 21, 2022, May 24, 2017 and 1 more (4 updates tracked since 2017).

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About Nneka Safiya Edwards-jackson M.d. NPPES

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

NNEKA SAFIYA EDWARDS-JACKSON M.D. (NPI 1639461734) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (65492) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639461734

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameNNEKA SAFIYA EDWARDS-JACKSONCredential: M.D.

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (323) 361-3550

Phone(602) 933-0777

Sole ProprietorYes

Enumeration DateMay 7, 2011

Last NPPES UpdateAugust 28, 20234 updates tracked since enumeration

NPPES CertifiedAugust 28, 2023

✔ NPI 1639461734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in AZ · 65492✔ Licensed in CA · A124478

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.

1919 E THOMAS RD, Phoenix, AZ 85016

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nneka Safiya Edwards-jackson M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. TIMUR RAGHIB M.D.

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