THOMAS R JACKSON M.D.
NPI 1790765667
Physical Medicine & Rehabilitation in Charlotte,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 18, 2006

Contact Information

Po Box 601372
Charlotte,
Post Code: 28260
Phone: (704) 512-4808
Fax: (704) 512-4838

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Thomas R Jackson M.d. in Charlotte - Physical Medicine & Rehabilitation

Thomas R Jackson M.d. is a Physical Medicine & Rehabilitation in Charlotte, . Thomas R Jackson M.d. practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Thomas R Jackson M.d. is 1790765667. The last update date is 2015-01-27.

Thomas R Jackson M.d.'s current location address is Po Box 601372, Charlotte, . You can contact this provider via phone number (704) 512-4808 and fax number (704) 512-4838. The mailing address for Thomas R Jackson M.d. is Po Box 601372, Charlotte, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1790765667
Provider Name
THOMAS R JACKSON M.D.
Gender
Male
Entity Type
Individual
Location Address
Po Box 601372, Charlotte,
Location Phone
(704) 512-4808
Location Fax
(704) 512-4838
Mailing Address
1100 Blythe Blvd, Charlotte, North Carolina(NC)
Mailing Phone
704-512-4808
Mailing Fax
704-512-4838
Enumeration Date
2006-01-18
Last Update Date
2015-01-27
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

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
-
License No.
2011-00970
License State
North Carolina (NC)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 208100000X Physical Medicine & Rehabilitation Physician

Physical Medicine & Rehabilitation

MT179687 (Pennsylvania)
2 2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician

Physical Medicine & Rehabilitation, Pain Medicine

MD13171 (Rhode Island)
3 208100000X Physical Medicine & Rehabilitation Physician

Physical Medicine & Rehabilitation

MD13171 (Rhode Island)

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
1790765667 MEDICAID (05) North Carolina (NC)
5918134 MEDICAID (05) North Carolina (NC)
NC1445 MEDICAID (05) South Carolina (SC)
TJ79199 MEDICAID (05) Rhode Island (RI)

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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.
1790765667
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718014610612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2718014610612
2 + 7 + 1 + 8 + 0 + 1 + 4 + 6 + 1 + 0 + 6 + 1 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7 7

The NPI number 1790765667 is valid because the calculated check digit 7 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
1497758544 CUMBERLAND COUNTY HOSPITAL SYSTEM, INC
CAPE FEAR VALLEY HOME HEALTH AND HOSPICE
Organization
Hospice Care, Community Based 3418 VILLAGE DR
FAYETTEVILLE, North Carolina (NC)
910-609-6740
1114920162 JON DUBOSE
Individual
Pediatrics 111 HOSPITAL DR
TARBORO, North Carolina (NC)
252-641-7700
1225031271 JOHN DAVID SHEPHERD
Individual
Internal Medicine, Nephrology 293 OLMSTED BLVD
PINEHURST, North Carolina (NC)
910-295-3344
1033112081 JOHN PATRICK FOGARTY
Individual
Internal Medicine, Pulmonary Disease 1850 W ARLINGTON BLVD
GREENVILLE, North Carolina (NC)
252-752-6101
1649273673 TODD MICHAEL KOPCZYNSKI
Individual
Obstetrics & Gynecology 3311 BEAM RD
CHARLOTTE, North Carolina (NC)
704-468-0137