PATRICIA JACKSON MD, LLC
NPI 1952409567
Internal Medicine in Marrero, LA
About Patricia Jackson Md, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICIA JACKSON MD, LLC (NPI 1952409567) is a healthcare organization registered as an internal medicine in Marrero, Louisiana and active in the NPI registry since September 2006. The organization lists James O Theis, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Patricia Jackson Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Patricia Jackson MD, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Patricia Jackson MD, LLC's NPI number?
The NPI number for Patricia Jackson MD, LLC is 1952409567. It was assigned to this organization in the NPPES registry on September 20, 2006.
Where is Patricia Jackson MD, LLC located?
Patricia Jackson MD, LLC is located at 1111 Medical Center Blvd Suite N408, Marrero, LA 70072. The listed phone number is (504) 349-2908.
What is Patricia Jackson MD, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Patricia Jackson MD, LLC enrolled in Medicare?
Yes. Patricia Jackson MD, LLC is registered in the Medicare PECOS enrollment system.
When is Patricia Jackson MD, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Patricia Jackson MD, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Patricia Jackson MD, LLC, in Family Practice and Internal Medicine. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Patricia Jackson MD, LLC accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Patricia Jackson MD, LLC 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 Patricia Jackson MD, LLC was last updated on August 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Patricia Jackson Md, Llc · NPI 1952409567
Internal Medicine organization in Marrero, Louisiana. Organization record, active in the CMS NPPES registry since September 20, 2006.
## Identity
- **NPI:** 1952409567 (Entity type: Organization)
- **Enumerated:** September 20, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** James Theis, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 1111 MEDICAL CENTER BLVD, SUITE N408, Marrero, LA 70072
- **Phone:** (504) 349-2908 · **Fax:** (504) 378-0019
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Louisiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Internal Medicine (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1952409567) · Data from the CMS NPPES public registry.