JACKSON LEWIS MASSEY
NPI 1669161584
Student in an Organized Health Care Education/Training Program in Little Rock, AR
About Jackson Lewis Massey NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON LEWIS MASSEY (NPI 1669161584) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jackson Lewis Massey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
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 Jackson Massey's NPI number?
The NPI number for Jackson Massey is 1669161584. It was assigned to this individual provider in the NPPES registry on May 5, 2023.
Where is Jackson Massey located?
Jackson Massey practices at 4301 W Markham St # 540, Little Rock, AR 72205. The listed phone number is (501) 686-8428.
What is Jackson Massey's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jackson Massey enrolled in Medicare?
Yes. Jackson Massey is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jackson Massey was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jackson Lewis Massey · NPI 1669161584
Student in an Organized Health Care Education/Training Program provider in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since May 5, 2023.
## Identity
- **NPI:** 1669161584 (Entity type: Individual)
- **Enumerated:** May 5, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4301 W MARKHAM ST # 540, Little Rock, AR 72205-7101
- **Phone:** (501) 686-8428
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1669161584) · Data from the CMS NPPES public registry.