JEFFREY LUKE JACKSON DPM NPI 1548412992

NPI Information

  • NPI: 1548412992
  • Provider Name: JEFFREY LUKE JACKSON, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1677 EAGLE HARBOR PKWY
    SUITE C
    FLEMING ISLAND, FL
    ZIP 32003
  • Phone: (904) 278-5112

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NPI Details

Jeffrey Luke Jackson, DPM is a foot and ankle surgery podiatrist in Fleming Island, FL with 19 years of experience. Jeffrey Luke Jackson, DPM NPI is 1548412992. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2007

The provider's business location address is:

1677 EAGLE HARBOR PKWY
SUITE C
FLEMING ISLAND, FL
ZIP 32003-802
Phone: (904) 278-5112
Fax: (904) 278-5874

The NPI 1548412992 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).

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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • New patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99327)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Injection into tendon or ligament (HCPCS:20550)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Aspiration and/or injection of fluid from small joint (HCPCS:20600)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Biopsy of fingernail or toenail (HCPCS:11755)

The enumeration date for this NPI number is 10/16/2008 and was last updated on 10/5/2015.

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
1213ES0103XPodiatristFoot & Ankle SurgeryPO3675FLORIDAYes

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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