CHERYL JACKSON MD NPI 1831289586

NPI Information

NPI: 1831289586
Provider Name: CHERYL JACKSON, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
101 MANNING DR
CHAPEL HILL, NC
ZIP 27599
Phone: (919) 966-8596
Get Directions

Cheryl Jackson, MD is a pediatric emergency medicine pediatrics in Chapel Hill, NC. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Cheryl Jackson, MD NPI is 1831289586. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 MANNING DR
CHAPEL HILL, NC
ZIP 27599-001
Phone: (919) 966-8596
Fax: (919) 843-5515

The NPI 1831289586 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 10/13/2006 and was last updated on 7/11/2011.

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	208000000X	Pediatrics		94-00282	NORTH CAROLINA	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	94-00282	NORTH CAROLINA	Yes

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
1	2035413	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
2	891071X	MEDICAID	NORTH CAROLINA
3	E51027	MEDICARE UPIN	NORTH CAROLINA

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

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