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DR. DANNY WADE JACKSON D.O.
NPI 1821013095
Family Medicine in Rolling Fork, MS

Active since July 12, 2006
29 S FOURTH ST, ROLLING FORK, MS 39159(662) 873-4361(662) 873-2921 Get Directions Write a Review

NPPES record last updated: January 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Danny Wade Jackson D.o. NPPES

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

DR. DANNY WADE JACKSON D.O. (NPI 1821013095) is an individual family medicine provider in Rolling Fork, Mississippi, licensed in Mississippi (09390) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1821013095
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DANNY WADE JACKSONCredential: D.O.
Location Address29 S FOURTH STRolling Fork, MS 39159-5146
Mailing AddressPo Box 520Rolling Fork, MS 39159-0520 · (662) 873-4361 · Fax (662) 873-2921
Phone(662) 873-4361
Fax(662) 873-2921
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateJanuary 21, 2010
✔ NPI 1821013095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 09390
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
29 S FOURTH ST, Rolling Fork, MS 39159
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Other Identifiers 3

Medicaid00019909MS
Medicare UPINB64275MS
Medicare ID-Type Unspecified080004205MS · Mc Part B

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. MICHAEL LEO BAKER D.O.
Family Medicine
29 S FOURTH ST
ROLLING FORK, MS 39159
Sharkey County (662) 873-4361
MRS. PATSY JOHNSON CFNP
Nurse Practitioner (Family)
29 S FOURTH ST
ROLLING FORK, MS 39159
Sharkey County (662) 873-4361
JACKSON RURAL HEALTH CLINIC P A
Family Medicine
29 S FOURTH ST
ROLLING FORK, MS 39159
Sharkey County (662) 873-4361
PAIN TREATMENT CENTERS OF AMERICA PLLC
Durable Medical Equipment & Medical Supplies
29 S FOURTH ST
ROLLING FORK, MS 39159
Sharkey County (501) 712-2571
DR. DANNY W JACKSON D.O. PA
Clinical Medical Laboratory
29 S FOURTH ST
ROLLING FORK, MS 39159
Sharkey County (662) 873-4361
PAIN TREATMENT CENTERS OF AMERICA, PLLC
Family Medicine
29 S FOURTH ST
ROLLING FORK, MS 39159
Sharkey County (501) 712-2571

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 Danny Jackson's NPI number?

The NPI number for Danny Jackson is 1821013095. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Danny Jackson located?

Danny Jackson practices at 29 S Fourth St, Rolling Fork, MS 39159. The listed phone number is (662) 873-4361.

What is Danny Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Danny Jackson was last updated on January 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.