MR. GILLIAN JACKSON PT
NPI 1871579219
Specialist in Sacaton, AZ
About Mr. Gillian Jackson Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GILLIAN JACKSON PT (NPI 1871579219) is an individual specialist in Sacaton, Arizona, licensed in Arizona (PT30262) and active in the NPI registry since December 2005.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Gillian Jackson Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Gillian Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sacaton, AZ 85147
- Reassigned Medicare billing, Texas enrollment
- 482 clinicians in this Medicare group
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.
SACATON, AZ 85147
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 Gillian Jackson's NPI number?
The NPI number for Gillian Jackson is 1871579219. It was assigned to this individual provider in the NPPES registry on December 19, 2005.
Where is Gillian Jackson located?
Gillian Jackson practices at 483 W. Seed Farm Rd., Sacaton, AZ 85147. The listed phone number is (602) 528-1200.
What is Gillian Jackson's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Gillian Jackson enrolled in Medicare?
Yes. Gillian Jackson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Gillian Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gillian Jackson reassigns Medicare benefits to Gila River Health Care Corporation (Sacaton, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gillian Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Gillian Jackson was last updated on November 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mr. Gillian Jackson, PT · NPI 1871579219
Specialist provider in Sacaton, Arizona. Individual provider, active in the CMS NPPES registry since December 19, 2005.
## Identity
- **NPI:** 1871579219 (Entity type: Individual)
- **Enumerated:** December 19, 2005
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** PT30262 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 483 W. SEED FARM RD., Sacaton, AZ 85147-0038
- **Phone:** (602) 528-1200 · **Fax:** (602) 528-1255
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Gila River Health Care Corporation (NPI 1225023179, Sacaton, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 12, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1871579219) · Data from the CMS NPPES public registry.