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James W Jackson Jr., MD

Pain Medicine (Anesthesiology) Physician in Louisville, KY · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063583268

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Registry record

Entity type Individual (Type 1)
Name James W Jackson Jr.
Credential MD
Sex Male
Practice address 120 Executive Park, Louisville, KY, 40207
Fax (502) 855-7201
Enumeration date Nov 11, 2006
Last updated in NPPES Jun 9, 2022

Taxonomy & licenses

207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians · License 01062749A (IN) Secondary
208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians · License 41100 (KY) Secondary
207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians · License 41100 (KY) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
719905 Other KY WELLCARE OF KY PROVIDER ID
002903176 Other - UNITED HEALTHCARE PROVIDER ID NUMBER
9121168 Other - AETNA PIN
200872860 Medicaid IN -
000000858929 Other - ANTHEM PIN
7100003940 Medicaid KY -
CS1434500725 Other - CARESOURCE ID
135386KYIP Other KY AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify James Jackson's NPI record?
Cross-check NPI 1063583268 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1063583268 active?
Yes, as of the latest NPPES snapshot, NPI 1063583268 is active (record last updated 2022-06-09).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-09.