1. Home
  2. Directory
  3. North Carolina
  4. Mt Airy
  5. Family Medicine
  6. NPI Profile

JOSEPH A JACKSON MD
NPI 1962474676
Family Medicine in Mt Airy, NC

Active since February 06, 2006
865 W LAKE DR, MT AIRY, NC 27030(336) 719-6100 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joseph A Jackson Md NPPES

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

JOSEPH A JACKSON MD (NPI 1962474676) is an individual family medicine provider in Mt Airy, North Carolina, licensed in North Carolina (18000) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1962474676
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSEPH A JACKSONCredential: MD
Location Address865 W LAKE DRMt Airy, NC 27030-2157
Mailing Address2000 Frontis Plaza Blvd Ste 200, Attn Forsyth Medical GroupWinston Salem, NC 27103-5616 · (336) 277-2436
Phone(336) 719-6100
Sole ProprietorNo
Enumeration DateFebruary 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962474676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 18000
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.
865 W LAKE DR, Mt Airy, NC 27030
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified207531ANC
Medicare UPINC80598
Medicaid8945516NC

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.

ROGER K KERLEY MD
Internal Medicine
865 W LAKE DR
MT AIRY, NC 27030
Surry County (336) 719-6100
NICHOLAS THEOPHILOS KIPREOS MD
Family Medicine
865 W LAKE DR
MOUNT AIRY, NC 27030
Surry County (336) 719-6100
CENTER FOR FAMILY AND INDIVIDUAL GROWTH, PA
Social Worker (Clinical)
865 W LAKE DR
MOUNT AIRY, NC 27030
Surry County (336) 786-7199
MARK ALAN DODD DO
Family Medicine
865 W LAKE DR
MOUNT AIRY, NC 27030
Surry County (336) 719-6100
MR. DARRELL THOMAS GARNER LCSW
Social Worker (Clinical)
865 W LAKE DR
MOUNT AIRY, NC 27030
Surry County (336) 786-7199
WILLIAM B. HOOKS MD
Family Medicine
865 W LAKE DR, DBA MEDICAL ASSOCIATES OF SURRY
MOUNT AIRY, NC 27030
Surry County (336) 719-6100
THOMAS E PAYNE NP
Nurse Practitioner
865 W LAKE DR
MT AIRY, NC 27030
Surry County (336) 719-6100
KENNETH LEE WELLS PT
Physical Therapist
865 W LAKE DR, DBA EDWIN H. MARTINAT REHABILITATION CENTER
MOUNT AIRY, NC 27030
Surry County (336) 718-6700

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 Joseph Jackson's NPI number?

The NPI number for Joseph Jackson is 1962474676. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Joseph Jackson located?

Joseph Jackson practices at 865 W Lake Dr, Mt Airy, NC 27030. The listed phone number is (336) 719-6100.

What is Joseph 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 Joseph Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.