GABRIELLE K. JACKSON M.D. NPI 1487651832

NPI Information

NPI: 1487651832
Provider Name: GABRIELLE K. JACKSON, M.D.
Classification: Hospitalist - 208M00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1901 TATE SPRINGS RD
LYNCHBURG, VA
ZIP 24501
Phone: (434) 200-5895
Get Directions

Gabrielle K. Jackson, M.D. is a hospitalist in Lynchburg, VA with 25 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. Gabrielle K. Jackson, M.D. NPI is 1487651832. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

1901 TATE SPRINGS RD
LYNCHBURG, VA
ZIP 24501-109
Phone: (434) 200-5895
Fax: (434) 200-7529

The NPI 1487651832 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 enumeration date for this NPI number is 6/30/2005 and was last updated on 2/28/2023.

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
1	208M00000X	Hospitalist		0101231613	VIRGINIA	Yes
2	207Q00000X	Family Medicine		0101231613	VIRGINIA	No

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
1	010214769	OTHER		VA PREMIER PROVIDER NUMBE
2	6122638001	OTHER		CIGNA PROVIDER NUMBER
3	329076	OTHER		SOUTHERN HEALTH PROVIDER
4	55500	OTHER		SENTARA/OPTIMA PROVIDER N
5	B5342	OTHER		MEDCOST PROVIDER NUMBER
6	186404	OTHER		ANTHEM PROVIDER NUMBER
7	20-3639329	OTHER		PCHP PROVIDER NUMBER
8	203639329014	OTHER		TRICARE PROVIDER NUMBER
9	P00475085	OTHER	VIRGINIA	MEDICARE RAILROAD CARRIER
10	010214769	MEDICAID	VIRGINIA
11	203639329	OTHER		UNITED HEALTHCARE PROVIDE

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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