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Dr. Edward Robert Jackson II, MD

Sports Medicine (Orthopaedic Surgery) Physician in Tallahassee, FL · enumerated 2009.

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

National Provider Identifier

1710129408

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Registry record

Entity type Individual (Type 1)
Name Dr. Edward Robert Jackson II
Credential MD
Sex Male
Practice address 3334 Capital Medical Blvd #400, Tallahassee, FL, 32308
Phone (850) 877-8174
Fax (850) 877-5636
Enumeration date Mar 27, 2009
Last updated in NPPES Sep 13, 2022

Taxonomy & licenses

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License BP10016960 (TX) Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License ME107624 (FL) Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 063075 (GA) Secondary
207XX0005X Sports Medicine (Orthopaedic Surgery) Physician Allopathic & Osteopathic Physicians · License 63075 (GA) 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
003214650 Other FL UNITED HEALTH CARE
250872 Other FL UNIVERSAL HEALTHCARE
002458400 Medicaid FL -
P00903177 Other GA RR MEDICARE
503370302B Medicaid GA -

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

What is the NPI number for Edward Jackson?
The National Provider Identifier (NPI) for Edward Jackson is 1710129408, a Type 1 (individual) record in the CMS NPPES registry.
Where does Edward Jackson practice?
The practice location on file with NPPES is in Tallahassee, FL. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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