NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Calvin R Jackson

Internal Medicine Physician in Augusta, GA · enumerated 2006 · practices at Csra Medical Associates.

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

National Provider Identifier

1740398338

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Calvin R Jackson
Sex Male
Practice address 2123 Wrightsboro Rd, Augusta, GA, 30904
Fax (706) 736-5246
Enumeration date Aug 25, 2006
Last updated in NPPES Mar 28, 2008

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 031265 (GA) Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 16449 (SC) Secondary

Other identifiers

Identifier Type State Issuer
000623796B Medicaid GA -
164495 Medicaid SC -

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

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-03-28.