MR. DAVID M JACKSON PA-C
NPI 1952338485
Physician Assistant - Medical in Orange City, FL

Q: What is David Jackson's NPI number?

The NPI number for David Jackson is 1952338485. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Q: What is David Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for David Jackson was last updated on August 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 28, 2006PECOS Enrolled

1133 SAXON BLVD, PROMPT CARE, ORANGE CITY, FL 32763(904) 305-3221 Get Directions Write a Review

NPPES record last updated: August 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. David M Jackson Pa-c NPPES

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

MR. DAVID M JACKSON PA-C (NPI 1952338485) is an individual medical provider in Orange City, Florida, licensed in Florida (9104510) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952338485

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. DAVID M JACKSONCredential: PA-C

Location Address1133 SAXON BLVD, PROMPT CAREOrange City, FL 32763-0000

Mailing Address2223 Astor St, Pa2Orange Park, FL 32073-5668 · (904) 305-3221

Phone(904) 305-3221

Sole ProprietorNo

Enumeration DateJune 28, 2006

Last NPPES UpdateAugust 1, 2012

✔ NPI 1952338485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in FL · 9104510✔ Licensed in VA · 01108408409

1133 SAXON BLVD, Orange City, FL 32763

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Other Identifiers 4

Medicaid003373900FL

Medicare PINEW423ZFL

OtherY06YYBcbs

Medicare UPINVAD0000FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David M Jackson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

14 services13 patients

Other Providers at the Same Location NPPES 11

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

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