JAMES W. JACKSON, JR. MD – NPI #1063583268
Anesthesiology

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

JAMES JACKSON, JR. is an anesthesiologist located in LOUISVILLE, KY. NPPES has assigned the NPI number 1063583268 to JAMES JACKSON, JR. on November 11, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207LP2900X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Pain Medicine

The NPI profile was previously updated about 4 years ago on Jun 09, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAMES JACKSON, JR. below.

NPI Profile for
JAMES W. JACKSON, JR.

NPI Number
1063583268
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JAMES W. JACKSON, JR.
Credentials
MD
Primary location
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Phone: (502) 855-7200 Fax: (502) 855-7201
2 Other location(s):
1107 Crown Pointe Dr Ste 107
Elizabethtown, KY 42701-7280
Phone: (270) 506-3300
Fax: (270) 506-2843
530 S Jackson St
Louisville, KY 40202-1675
Phone: (502) 852-6901
Fax: (502) 852-6056
Mailing address
PO BOX 21890
BELFAST, ME 04915-4115
Phone: (502) 907-0356 Fax: (502) 919-9780
Sole Proprietor
No
Updated
Certification Date
Jun 09, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JAMES JACKSON, JR.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA BETTER HEALTH OF KY PROVIDER ID NUMBERKY135386KYIP
OTHERAETNA PIN9121168
OTHERANTHEM PIN000000858929
OTHERCARESOURCE IDCS1434500725
OTHERUNITED HEALTHCARE PROVIDER ID NUMBER002903176
OTHERWELLCARE OF KY PROVIDER IDKY719905
MEDICAIDIN200872860
MEDICAIDKY7100003940
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207LP2900X
- Anesthesiology / Pain Medicine (Primary)
IN 01062749A
208VP0014X
- Pain Medicine / Interventional Pain Medicine
KY 41100

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1107 CROWN POINTE DR STE 107,
ELIZABETHTOWN, KY 77025-1669

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
120 EXECUTIVE PARK,
LOUISVILLE, KY 77025-1669

Additional Information

Education
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE - Graduated 2002
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JAMES JACKSON, JR. is affiliated with the following medical group(s):
  • HOSPITAL
    • BAPTIST HEALTH HARDIN
      913 NORTH DIXIE AVENUE
      ELIZABETHTOWN, KY 42701

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.