TRAVIS W. JACKSON MD – NPI #1093657439
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

TRAVIS JACKSON is a dermatologist located in SAINT LOUIS, MO. NPPES recently assigned the NPI number 1093657439 to TRAVIS JACKSON on April 06, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was last updated on May 27, 2026. 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 TRAVIS JACKSON below.

NPI Profile for
TRAVIS W. JACKSON

NPI Number
1093657439
Enumeration Date

(about 2 months ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TRAVIS W. JACKSON
Credentials
MD
Primary location
621 S NEW BALLAS RD STE 3019B
SAINT LOUIS, MO 63141-8267
Phone: (314) 509-5305 Fax: (314) 251-4454
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
May 27, 2026

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.

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
207N00000X
- Dermatology (Primary)
MO 2026021643

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.