DR BRYCE V JACKSON
NPI 1790832210
Specialist in Panama City, FL

Q: What is North Florida Obstetric & Gyn Center PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since January 05, 2007CLIA 10D0270432 · Microscopy

1937 HARRISON AVE, PANAMA CITY, FL 32405(850) 784-6877(850) 785-5346 Get Directions Write a Review

NPPES record last updated: January 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr Bryce V Jackson NPPES

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

DR BRYCE V JACKSON (NPI 1790832210) is a healthcare organization registered as a specialist in Panama City, Florida and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Bryce Vincent Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1790832210

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameNORTH FLORIDA OBSTETRIC & GYN CENTER PA

Location Address1937 HARRISON AVEPanama City, FL 32405-4543

Mailing Address1937 Harrison AvePanama City, FL 32405-4543 · (850) 784-6877 · Fax (850) 785-5346

Phone(850) 784-6877

Fax(850) 785-5346

Organization SubpartNo

Authorized OfficialBryce Vincent JacksonPresident · (850) 784-6877

Enumeration DateJanuary 5, 2007

Last NPPES UpdateJanuary 15, 2014

✔ NPI 1790832210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME48532

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1937 HARRISON AVE, Panama City, FL 32405

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Other Names 1

Other NameDr Bryce V Jackson

Other Identifiers 4

Other03638FL · Blue Cross Blue Shield

Medicaid043532500FL

Medicare ID-Type Unspecified03638FL · Medicare Provider Number

Medicare UPIND50772FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D0270432

North Florida Ob/Gyn Center · Panama City, FL

Active · expires Aug 31, 2026

CLIA Number10D0270432

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorBryce V. Jackson

Laboratory Phone(850) 784-6877

Laboratory LocationNorth Florida Ob/Gyn Center1937 Harrison Avenue, Panama City, FL 32405

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEITH B BANTON M.D.

Family Medicine