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JACKSON FAMILY MEDICINE, LLC
NPI 1780825224
Clinic/Center - Primary Care in Waldorf, MD

Active since March 12, 2009
10 SAINT PATRICKS DR, #502, WALDORF, MD 20603(301) 885-3350(301) 885-0061 Get Directions Write a Review

NPPES record last updated: March 12, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackson Family Medicine, Llc NPPES

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

JACKSON FAMILY MEDICINE, LLC (NPI 1780825224) is a healthcare organization registered as a primary care in Waldorf, Maryland and active in the NPI registry since March 2009. The organization lists Dainty J Jackson, Doctor, as its authorized official.

NPPES Registry Identity

NPI1780825224
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJACKSON FAMILY MEDICINE, LLC
Location Address10 SAINT PATRICKS DR, #502Waldorf, MD 20603-4527
Mailing AddressPo Box 7876Upper Marlboro, MD 20792-7876 · (301) 885-3350 · Fax (301) 885-0061
Phone(301) 885-3350
Fax(301) 885-0061
Organization SubpartNo
Authorized OfficialDainty J JacksonDoctor · (301) 885-3350
Enumeration DateMarch 12, 2009
✔ NPI 1780825224 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 MD · H0058218
10 SAINT PATRICKS DR, Waldorf, MD 20603
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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.

MR. MOENIL PATEL
Nurse Practitioner (Family)
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 373-7900
MR. DAVID GROSSMAN P.T.
Physical Therapist
10 SAINT PATRICKS DR, SUITE 401
WALDORF, MD 20603
Charles County (301) 870-6717
CHRISTOPHER TODD WOGAMON LAT, ATC
Specialist/Technologist (Athletic Trainer)
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (240) 561-2933
FIRAS AL SAMMARRAI M.B.CH.B.
Internal Medicine (Nephrology)
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 373-7900
FIRDOUS HASANALI ASAR MD
Family Medicine
10 SAINT PATRICKS DR, SUITE 203
WALDORF, MD 20603
Charles County (301) 843-0222
DR. ALEX RYZHIKOV MD
Internal Medicine (Cardiovascular Disease)
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 705-7870
KATELYN SOUTHWICK DPT
Physical Therapist
10 SAINT PATRICKS DR, SUITE 401
WALDORF, MD 20603
Charles County (301) 870-7366
CHRISTINA LIN MD
Pain Medicine (Interventional Pain Medicine)
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 373-7900

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 Family Medicine, LLC's NPI number?

The NPI number for Jackson Family Medicine, LLC is 1780825224. It was assigned to this organization in the NPPES registry on March 12, 2009.

Where is Jackson Family Medicine, LLC located?

Jackson Family Medicine, LLC is located at 10 Saint Patricks Dr #502, Waldorf, MD 20603. The listed phone number is (301) 885-3350.

What is Jackson Family Medicine, LLC'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 Jackson Family Medicine, LLC was last updated on March 12, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.