James D Jackson
Medical Specialty
Professional ID
- NPI: 1235135039
- PECOS ID: 9830135649
- Enrollment ID: I20050701000514
- Credential(MD, DO, DPM): MD
- Medical School: University Of Alabama School Of Medicine
- Medical School Graduation Year: 1987
Hospital Service
- Hospital CCN1: 180141
- Business Name (LBN)1: University Of Louisville Hospital
- Hospital CCN2: 180040
- Business Name (LBN)2: Jewish Hospital St Marys Healthcare
Medical Practices
- Organization Name: Family Health Centers, Inc.
- Group Practice ID assigned by PECOS: 6901700053
- Number of Group Practice member: 48
Location
- Address1: 1000 Neighborhood Place
- Address2:
- City: Fairdale
- State: Kentucky
- Zip Code: 40118
- Phone Number: (502)361-2381
Location
- Address1: 712 E Muhammad Ali Blvd
- Address2:
- City: Louisville
- State: Kentucky
- Zip Code: 40202
- Phone Number: (502)568-6972
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):