Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Edward A Jackson, M.D.

Family Medicine Physician in Orlando, FL · enumerated 2006.

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

National Provider Identifier

1639104029

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Registry record

Entity type Individual (Type 1)

Name Dr. Edward A Jackson

Credential M.D.

Sex Male

Practice address 7975 Lake Underhill Rd Ste 200, Orlando, FL, 32822

Phone (407) 303-6830

Fax (407) 303-8659

Enumeration date Jul 12, 2006

Last updated in NPPES Jul 21, 2022

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 4301046128 (MI) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License ME129390 (FL) 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
101977	Other	MI	GREAT LAKES HEALTH PLAN
381870664	Other	MI	PRIORITY HEALTH
381870664	Other	MI	PRIVATE HEALTHCARE SYSTE
381870664112	Other	MI	COMMUNITY CHOICE MICHIGAN
0730985	Other	MI	BCBSM PIN
381870664	Other	MI	PPOM
080G376200	Other	MI	BCBSM GROUP NUMBER
1639104029	Medicaid	MI	-
EJ046128	Other	MI	LICENSE
0G37620004	Other	MI	RAILROAD MEDICARE
381870664	Other	MI	HEALTH CARE ALLIANCE POOL
4045995	Other	MI	AETNA

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

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Edward Jackson?

Edward Jackson is registered in NPPES with the primary taxonomy of Family Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

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Charles Lehnardt Family Medicine Physician · Orlando, FL NPI 1487811329 Tanya Anim Family Medicine Physician · Orlando, FL NPI 1902126956 Martin Torrents Family Medicine Physician · Orlando, FL NPI 1093035636 Shing-Yu Lin Hospitalist Physician · Orlando, FL NPI 1164712691 Alexandra Pizzi Pediatrics Physician · Orlando, FL NPI 1649653189 Xiawei Zhong Neuromusculoskeletal Medicine & OMM Physician · Orlando, FL NPI 1750843702 Jay Feldman Student in an Organized Health Care Education/Training Program · Orlando, FL NPI 1124581764 Lizette Roque Clinical Psychologist · Orlando, FL NPI 1982230207

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.