JACKSON STREETER (MD) – Family Medicine Physician, NPI 1154662658

JACKSON STREETER (MD) is a healthcare provider. based in Newberry, Florida. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. AZ20619 (AZ). The NPI Number for JACKSON STREETER (MD) is 1154662658

Main info

Male
Sole Proprietor
Name
JACKSON STREETER (MD)
NPI
1154662658
Phone
(619) 813-6018
Address
13424 SW 4TH LN
Enumeration Date
7 March 2013
Last Update Date
7 March 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for JACKSON STREETER (MD)

  • 13424 SW 4TH LN

    NEWBERRY, FL 326693050

    Phone: (619) 813-6018

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32669)

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Reviews

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Frequently asked questions

Can I verify JACKSON STREETER (MD) with an NPI only?
You can start verification with NPI 1154662658 for JACKSON STREETER (MD), then check state licensing separately.
Is JACKSON STREETER (MD) listed as active for patients and plans?
The listing shows JACKSON STREETER (MD) as active in the NPI system.
What is JACKSON STREETER (MD)'s specialty?
The listing groups JACKSON STREETER (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect JACKSON STREETER (MD) on a map?
Expect Newberry, Florida as a primary anchor for JACKSON STREETER (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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