DR. LEWIS JR. JACKSON (M.D.) – Geriatric Medicine (Family Medicine) Physician, NPI 1710040480

DR. LEWIS JR. JACKSON (M.D.) is a healthcare provider. based in Miami, Florida. specializing in Geriatric Medicine (Family Medicine) Physician. They hold the professional credentials M.D.. They hold a License No. ME94517 (FL). The NPI Number for DR. LEWIS JR. JACKSON (M.D.) is 1710040480

Main info

Male
Sole Proprietor
Name
DR. LEWIS JR. JACKSON (M.D.)
NPI
1710040480
Phone
(305) 575-3388
Address
1611 NW 12TH AVE
Enumeration Date
18 December 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. LEWIS JR. JACKSON (M.D.)

  • Jackson Memorial Hospital, 1611, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    MIAMI, FL 331361005

    Phone: (305) 575-3388

    Type: Location

  • Bay Plaza Condominium, 7125, Bay Drive, Atlantic Heights, Miami Beach, Miami-Dade County, Florida, 33141, United States

    APT202

    MIAMI BEACH, FL 331415476

    Phone: (305) 867-2676

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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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)

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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 33136)

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Reviews

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Frequently asked questions

Does DR. LEWIS JR. JACKSON (M.D.) have a public NPI I can cite?
Public records show DR. LEWIS JR. JACKSON (M.D.) under NPI 1710040480.
Should I treat DR. LEWIS JR. JACKSON (M.D.) as an active provider?
Patients and plans typically see DR. LEWIS JR. JACKSON (M.D.) as active in the national extract.
What services align with DR. LEWIS JR. JACKSON (M.D.)'s listing?
DR. LEWIS JR. JACKSON (M.D.)'s public classification highlights Geriatric Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. LEWIS JR. JACKSON (M.D.)?
DR. LEWIS JR. JACKSON (M.D.) shows a connection to Miami, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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