| James Scully Jackson, MD | |
|
251 S Claybrook St Ste A206, Memphis, TN 38104-3539 | |
| (901) 516-7509 | |
| Not Available |
| Full Name | James Scully Jackson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 3 Years |
| Location | 251 S Claybrook St Ste A206, Memphis, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124715958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 72921 (Tennessee) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Hospitals Of Memphis | Memphis, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Methodist South Emergency Physicians, Pllc | 6406205608 | 48 |
| Methodist North Emergency Physicians, Pllc | 0941659247 | 43 |
| Germantown Emergency Physicians, Pllc | 7214386812 | 29 |
| Entity Name | UT Regional One Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093130585 PECOS PAC ID: 5698993418 Enrollment ID: O20140820000662 |
| Entity Name | Methodist University Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023899291 PECOS PAC ID: 4981052719 Enrollment ID: O20231204003274 |
| Entity Name | Germantown Emergency Physicians, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518747526 PECOS PAC ID: 7214386812 Enrollment ID: O20231207003122 |
| Entity Name | Methodist North Emergency Physicians, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801677083 PECOS PAC ID: 0941659247 Enrollment ID: O20231212002784 |
| Entity Name | Methodist South Emergency Physicians, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609657873 PECOS PAC ID: 6406205608 Enrollment ID: O20231213002628 |
| Mailing Address | Practice Location Address |
|---|---|
| James Scully Jackson, MD 2540 Broad Ave Apt 452, Memphis, TN 38112-2644 Ph: (678) 463-7269 | James Scully Jackson, MD 251 S Claybrook St Ste A206, Memphis, TN 38104-3539 Ph: (901) 516-7509 |