Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Staley Thomas Jackson, M.D.

Orthopaedic Surgery Physician in Lumberton, NC · enumerated 2006.

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

National Provider Identifier

1225091408

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Registry record

Entity type Individual (Type 1)

Name Staley Thomas Jackson

Credential M.D.

Sex Male

Practice address 2934 N Elm St Ste B1, Lumberton, NC, 28358

Phone (910) 272-1175

Fax (910) 272-1176

Enumeration date Apr 10, 2006

Last updated in NPPES Nov 3, 2020

Taxonomy & licenses

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 38362 (NC) 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
45569	Other	NC	BCBS
7945569	Medicaid	NC	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Staley Jackson?

The National Provider Identifier (NPI) for Staley Jackson is 1225091408, a Type 1 (individual) record in the CMS NPPES registry.

Where does Staley Jackson practice?

The practice location on file with NPPES is in Lumberton, NC. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Annette Wallwork Family Nurse Practitioner · Lumberton, NC NPI 1932198702

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-03.