Kevin L Jackson (NPI# 1316938517, PAC ID# 0345382032) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1316938517 |
| PAC ID by PECOS | 0345382032 |
| Professional Enrollment ID | I20100119000184 |
| Full Name | Kevin L Jackson |
| Address |
2430 Village Professional Dr Opelika AL 36801-2378 |
| Phone Number | 3348216300 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010029 | EAST ALABAMA MEDICAL CENTER AND SNF |
| Address | Phone | Organization |
|---|---|---|
| 2430 Village Professional Dr, Opelika, AL 36801-2378 | 3348216300 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 98% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% |
| Street Address |
2430 VILLAGE PROFESSIONAL DR |
| City | OPELIKA |
| State | AL |
| Zip | 36801-2378 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin Roach | Family Medicine | 7667 Alabama Hwy 51, Suite B, Opelika, AL 36801 | |
| Moses M Jones | Family Medicine | Auburn Urgent Care, Inc | 2638 Enterprise Dr, Opelika, AL 36801-1512 |
| Sandra J Whitaker | Nurse Practitioner | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Jennifer Ann Hadley | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Jennifer Smith | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| David Estep | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Peter J Lusche | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Sai K Nandamuru | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Erica Kierce | Nurse Practitioner | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Raymon Wilensky | Neurology | Neurology Center of East Alabama, LLC | 2570 Village Professional Dr, Opelika, AL 36801-2380 |
| Find all physicians in zip 36801 | |||
| City | OPELIKA |
| Zip Code | 36801 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | OPELIKA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kevin L Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.