SPENCER JACKSON MD
NPI 1689248668
Student in an Organized Health Care Education/Training Program in New Orelans, LA

Q: What is Spencer Jackson's NPI number?

The NPI number for Spencer Jackson is 1689248668. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Q: What is Spencer Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Spencer Jackson was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 14, 2021PECOS Enrolled

1514 JEFFERON HIGHWAY, NEW ORELANS, LA 70121(252) 560-1214 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Spencer Jackson Md NPPES

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

SPENCER JACKSON MD (NPI 1689248668) is an individual student in an organized health care education/training program in New Orelans, Louisiana and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689248668

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSPENCER JACKSONCredential: MD

Location Address1514 JEFFERON HIGHWAYNew Orelans, LA 70121

Mailing Address4315 Sharon Church RdKinston, NC 28501-7192 · (252) 560-1214

Phone(252) 560-1214

Sole ProprietorNo

Enumeration DateMay 14, 2021

NPPES CertifiedApril 19, 2021

✔ NPI 1689248668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1514 JEFFERON HIGHWAY, New Orelans, LA 70121

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spencer Jackson Md 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.

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 Spencer Jackson's NPI number?

The NPI number for Spencer Jackson is 1689248668. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Where is Spencer Jackson located?

Spencer Jackson practices at 1514 Jefferon Highway, New Orelans, LA 70121. The listed phone number is (252) 560-1214.

What is Spencer Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Spencer Jackson enrolled in Medicare?

Yes. Spencer Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Spencer Jackson was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.