David C Jacks MD PA
David C Jacks MD PA is a healthcare organization registered as Specialist in Pine Bluff, AR, holding Type 2 (organization) NPI 1083882633 since 2008. The authorized official on file is Judy Frizielle, Billing Manager/ Nurse.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083882633 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | David C Jacks MD PA |
| Practice address | 4303 S MULBERRY ST, Pine Bluff, AR, 71603 |
| Phone | 8705354221 |
| Fax | 8705354228 |
| Enumeration date | 2008-02-18 |
| Last updated in NPPES | 2013-11-15 |
Authorized official
| Name | Judy Frizielle |
|---|---|
| Title | Billing Manager/ Nurse |
| Phone | 8705354221 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | C5066 | AR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104930001 | Medicaid | AR | — |
Copy-ready billing details
Provider: David C Jacks MD PA NPI: 1083882633 Taxonomy: 174400000X (Specialist) Address: 4303 S MULBERRY ST, Pine Bluff, AR, 71603
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1467498774 | Mark Anthony Ramiro | Individual | Family Medicine Physician | Pine Bluff, AR |
| 1093735110 | David Jacks | Individual | Urology Physician | Pine Bluff, AR |
Verify this record
Cross-check NPI 1083882633 against the authoritative CMS record: view David C Jacks MD PA on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
Who is the authorized official for David C Jacks MD PA?
What is the NPI number for David C Jacks MD PA?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-11-15.