IVAN D. JACKSON MD
NPI 1205839362
Internal Medicine in Dothan,


Quality Rating: 100 out of 100 score

NPI Status: Active since May 23, 2005

Contact Information

210 Westside Dr
Dothan,
Post Code: 36303
Phone: (334) 793-5074
Fax: (334) 793-6460

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Ivan D. Jackson Md in Dothan - Internal Medicine

Ivan D. Jackson Md is a Internal Medicine in Dothan, . Ivan D. Jackson Md practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Ivan D. Jackson Md is 1205839362. The last update date is 2021-03-03.

Ivan D. Jackson Md's current location address is 210 Westside Dr, Dothan, . You can contact this provider via phone number (334) 793-5074 and fax number (334) 793-6460. The mailing address for Ivan D. Jackson Md is 210 Westside Dr, Dothan, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1205839362
Provider Name
IVAN D. JACKSON MD
Gender
Male
Entity Type
Individual
Location Address
210 Westside Dr, Dothan,
Location Phone
(334) 793-5074
Location Fax
(334) 793-6460
Mailing Address
210 Westside Dr, Dothan, Alabama(AL)
Mailing Phone
334-793-5074
Mailing Fax
334-793-6460
Enumeration Date
2005-05-23
Last Update Date
2021-03-03
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
-
License No.
11508
License State
Alabama (AL)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000015699 MEDICAID (05) Alabama (AL)
110082048 Other (non-Medicare) (01) () RAILROAD MEDICARE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205839362
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
220516318312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 220516318312
2 + 2 + 0 + 5 + 1 + 6 + 3 + 1 + 8 + 3 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2 2

The NPI number 1205839362 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164425310 CONSTANCE COLLINS DABEZIES
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Obstetrics & Gynecology 1601 CENTER ST
MOBILE, Alabama (AL)
251-415-1496
1184627002 TERESA BETH MCDOWELL
Individual
Nurse Practitioner, Family 1 PLASTICS DR
BURKVILLE, Alabama (AL)
334-832-5030
1093718777 KHALIL ELIAS AWAD
Individual
Chiropractor 9002 PARKWAY E
BIRMINGHAM, Alabama (AL)
205-836-8312
1053314997 RICHARD JOSEPH DUFFEY
Individual
Ophthalmology 2880 DAUPHIN ST
MOBILE, Alabama (AL)
251-473-1900
1184627796 JAMES V COURTNEY
Individual
Radiology, Diagnostic Radiology 5 MOBILE INFIRMARY CIRCLE
MOBILE, Alabama (AL)
251-435-2400