HORACE J JACKSON MD PC NPI 1144466368

NPI Information

  • NPI: 1144466368
  • Provider Name: HORACE J JACKSON MD PC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 464 MAIN STREET
    WARSAW, VA
    ZIP 22572
  • Phone: (804) 788-0556

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NPI Details

HORACE J JACKSON MD PC is a gastroenterology internal medicine in Warsaw, VA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. HORACE J JACKSON MD PC NPI is 1144466368. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

464 MAIN STREET
WARSAW, VA
ZIP 22572
Phone: (804) 788-0556

The provider's authorized official is Horace J Jackson .
The authorized official title is President Owner and has the following contact phone number (804) 788-0556.

The enumeration date for this NPI number is 12/17/2008 and was last updated on 12/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1006O49656MEDICAIDVIRGINIA
2006954OTHERVIRGINIAANTHEM
3110000329MEDICARE PINVIRGINIA
4B09238MEDICARE UPINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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