DR. EDWARD LESLIE JACKSON M.D. NPI 1174506448

NPI Information

  • NPI: 1174506448
  • Provider Name: DR. EDWARD LESLIE JACKSON, M.D.
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3344 N FUTRALL DR
    FAYETTEVILLE, AR
    ZIP 72703
  • Phone: (479) 521-8200

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NPI Details

DR. Edward Leslie Jackson, M.D. is a pulmonary disease internal medicine in Fayetteville, AR with 29 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Edward Leslie Jackson, M.D. NPI is 1174506448. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:1997

The provider's business location address is:

3344 N FUTRALL DR
FAYETTEVILLE, AR
ZIP 72703-057
Phone: (479) 521-8200
Fax: (479) 582-7310

The NPI 1174506448 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Test to measure expiratory airflow and volume changes before and after medication administration (HCPCS:94060)
  • Test to examine how well the lungs exchange gases (HCPCS:94729)
  • Test to determine lung volumes using sensors (HCPCS:94726)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Test for exercise-induced lung stress (HCPCS:94618)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood creatinine level (HCPCS:82565)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Critical care, each additional 30 minutes (HCPCS:99292)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)

The enumeration date for this NPI number is 11/21/2005 and was last updated on 3/14/2024.

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
1207RC0200XInternal MedicineCritical Care MedicineE-4775ARKANSASNo
2207RP1001XInternal MedicinePulmonary DiseaseE-4775ARKANSASYes

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
15N545OTHERARKANSASAR BCBS
2P00327943OTHERARKANSASRR MCR
3160768001MEDICAIDARKANSAS
4200088310AMEDICAIDOKLAHOMA

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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