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JACKSON PEMBERTON MD
NPI 1891781969
Pathology - Anatomic Pathology & Clinical Pathology in Edgewood, KY

Active since September 23, 2005
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 301-2018(859) 301-2073 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Pemberton Md NPPES

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

JACKSON PEMBERTON MD (NPI 1891781969) is an individual anatomic pathology & clinical pathology provider in Edgewood, Kentucky, licensed in Kentucky (25835) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1891781969
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameJACKSON PEMBERTONCredential: MD
Location Address1 MEDICAL VILLAGE DREdgewood, KY 41017-3403
Mailing AddressPo Box 636324Cincinnati, OH 45263-6324 · (859) 301-2018 · Fax (859) 301-2073
Phone(859) 301-2018
Fax(859) 301-2073
Sole ProprietorNo
Enumeration DateSeptember 23, 2005
Last NPPES UpdateSeptember 20, 2018
✔ NPI 1891781969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in KY · 25835
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X · License 25835 (KY)
1 MEDICAL VILLAGE DR, Edgewood, KY 41017
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Other Identifiers 2

Medicaid2463507OH
Medicaid64258353KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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.

CARA LINDSAY HANSEN CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MRS. COURTNEY E COFFEY PA-C
Physician Assistant
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-9010
DR. KELLY ANN MACKESSY DO
Surgery (Surgical Oncology)
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 578-5880
LYNDSEY LANG MS, RN, NNP-BC
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2423
MS. STEPHANIE ANNE STEGMAN CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MICHELLE F PANDIT MD
Emergency Medicine
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2250
ELLE KAISER DNP,CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MRS. ANITA KAY PHILLIPS ARNP-C
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-8074

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 Pemberton's NPI number?

The NPI number for Jackson Pemberton is 1891781969. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Jackson Pemberton located?

Jackson Pemberton practices at 1 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (859) 301-2018.

What is Jackson Pemberton's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

What insurance does Jackson Pemberton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Jackson Pemberton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackson Pemberton was last updated on September 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.