MILES JACKSON MD – NPI #1336515295
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

MILES JACKSON is a surgeon located in JACKSON, MI. NPPES has assigned the NPI number 1336515295 to MILES JACKSON on August 14, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 3 years ago on Dec 16, 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 MILES JACKSON below.

NPI Profile for
MILES JACKSON

NPI Number
1336515295
Enumeration Date

(about 11 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MILES JACKSON
Credentials
MD
Primary location
300 W WASHINGTON AVE STE 300
JACKSON, MI 49201-2160
Phone: (517) 205-1305 Fax: (313) 876-1305
Mailing address
1 FORD PL STE 3A
DETROIT, MI 48202-3450
Phone: (313) 874-4806 Fax: (313) 876-1305
Sole Proprietor
No
Updated
Certification Date
Dec 16, 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.

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
2086S0129X
- Surgery / Vascular Surgery (Primary)		 MI 4301508401
390200000X
- Student in an Organized Health Care Education/Training Program
208600000X
- Surgery		 MI 4301508401

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.

Additional Information

Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices

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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.