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Greg L Jackson

Parenteral & Enteral Nutrition Supplies (DME) in Addison, TX · enumerated 2006 · authorized official Greg Jackson, Ceo.

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

National Provider Identifier

1063580843

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Registry record

Entity type Organization (Type 2)
Legal business name Greg L Jackson
Other name <Unavail>
Practice address 4386 Sunbelt Dr, Addison, TX, 75001
Phone (972) 380-2065
Fax (972) 380-9488
Enumeration date Dec 1, 2006
Last updated in NPPES Oct 24, 2018

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
332BP3500X Parenteral & Enteral Nutrition Supplies (DME) Suppliers Primary

Authorized official

Name Greg Jackson
Title Ceo
Phone (972) 380-2065

Other identifiers

Identifier Type State Issuer
010118001 Other TX MEDICAID CCP
011564401 Medicaid TX -
0519596 Other TX BLUE CROSS BLUE SHIELD

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

Who is the authorized official for Greg L Jackson?
NPPES lists Greg Jackson (Ceo) as the authorized official for this organization.
What is the NPI number for Greg L Jackson?
The NPI for Greg L Jackson is 1063580843, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-10-24.