Dr. Danny W Jackson D.O. PA
Dr. Danny W Jackson D.O. PA is a healthcare organization registered as Clinical Medical Laboratory in Rolling Fork, MS, holding Type 2 (organization) NPI 1659304301 since 2006. The authorized official on file is Danny Jackson, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1659304301 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dr. Danny W Jackson D.O. PA |
| Practice address | 29 S FOURTH ST, Rolling Fork, MS, 39159 |
| Phone | 6628734361 |
| Fax | 6628732921 |
| Enumeration date | 2006-07-08 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Danny Jackson |
|---|---|
| Title | Owner |
| Phone | 6628734361 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | — | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00116560 | Medicaid | MS | — |
Copy-ready billing details
Provider: Dr. Danny W Jackson D.O. PA NPI: 1659304301 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 29 S FOURTH ST, Rolling Fork, MS, 39159
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1316975287 | Jackson Rural Health Clinic P A | Organization | Family Medicine Physician | Rolling Fork, MS |
| 1821013095 | Danny Jackson | Individual | Family Medicine Physician | Rolling Fork, MS |
| 1144245671 | Patsy Johnson | Individual | Family Nurse Practitioner | Rolling Fork, MS |
| 1043236722 | Michael Baker | Individual | Family Medicine Physician | Rolling Fork, MS |
| 1740946573 | Pain Treatment Centers of America, Pllc | Organization | Family Medicine Physician | Rolling Fork, MS |
| 1417661737 | Pain Treatment Centers of America Pllc | Organization | Durable Medical Equipment & Medical Supplies | Rolling Fork, MS |
Verify this record
Cross-check NPI 1659304301 against the authoritative CMS record: view Dr. Danny W Jackson D.O. 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
What type of organization is Dr. Danny W Jackson D.O. PA?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.