Jon C Jackson (NPI# 1760669345, PAC ID# 4789868019) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1760669345 |
| PAC ID by PECOS | 4789868019 |
| Professional Enrollment ID | I20110412000453 |
| Full Name | Jon C Jackson |
| Address |
1828 Hospital Dr Jackson MS 39204-3410 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250134 | WHITFIELD MEDICAL SURGICAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1828 Hospital Dr, Jackson, MS 39204-3410 | ||
| 3550 Hwy 468 W, Po Box 157 A, Whitfield, MS 39193-0178 | 6013518000 | MISSISSIPPI STATE HOSPITAL WHITFIELD |
| Street Address |
1828 HOSPITAL DR |
| City | JACKSON |
| State | MS |
| Zip | 39204-3410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa F Smith | Nurse Practitioner | 1828 Hospital Dr, Jackson, MS 39204-3410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edith F Smith Rayford | Obstetrics/gynecology | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Robert Smith | Family Medicine | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Tamara C Winfield | Family Medicine | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Edgar Miller | Nurse Practitioner | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Eurekia D Samuel | Nurse Practitioner | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Obie M Mcnair | Internal Medicine | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Myra A Wheaton | Family Medicine | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Denetta D Ross | Nurse Practitioner | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Ruth A Walker | Clinical Social Worker | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Marcia J Hays | Registered Dietitian Or Nutrition Professional | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Find all physicians in zip 39204 | |||
| City | JACKSON |
| Zip Code | 39204 |
| Specialty | PSYCHIATRY |
| City + Specialty | JACKSON + PSYCHIATRY |
Please comment or provide details below to improve the information on Jon C 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.