MR. WILLIAM A JACKSON III
NPI 1679191886
Social Worker in Lexington, KY

Q: What is William Jackson's NPI number?

The NPI number for William Jackson is 1679191886. It was assigned to this individual provider in the NPPES registry on July 14, 2020.

Q: What is William Jackson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for William Jackson was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 14, 2020PECOS Enrolled

1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511(859) 253-1686 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mr. William A Jackson Iii NPPES

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

MR. WILLIAM A JACKSON III (NPI 1679191886) is an individual social worker in Lexington, Kentucky and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679191886

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameMR. WILLIAM A JACKSON III

Location Address1351 NEWTOWN PIKE BLDG 1Lexington, KY 40511-1277

Mailing Address1351 Newtown Pike Bldg 1Lexington, KY 40511-1277 · (859) 253-1686

Phone(859) 253-1686

Sole ProprietorNo

Enumeration DateJuly 14, 2020

NPPES CertifiedJuly 14, 2020

✔ NPI 1679191886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

1351 NEWTOWN PIKE BLDG 1, Lexington, KY 40511

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. William A Jackson Iii 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.

Medicare Billing Reassignment

Medicare enrollment records show William Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA

885 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Kentucky enrollment
255 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MONICA KLAMPE

Community Health Worker