NPPES file of Aug 9, 2026

J. Phillip Jackson, M.D.

Family Medicine Physician · Fort Wayne, IN

J. Phillip Jackson, M.D. is a family medicine physician with a practice address in Fort Wayne, Indiana, and NPI 1881675080, issued on Nov 7, 2005. Check the license (Indiana 01037752A, as entered in NPPES) on the Medical Licensing Board of Indiana; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1881675080
Name
J. Phillip Jackson
Credential
M.D.
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
01037752A IN
Self-reported in NPPES; status is on the state search
Practice location
7980 W Jefferson Blvd, Fort Wayne, IN 46804
Phone
(260) 436-9454
Enumerated
Nov 7, 2005
Record last updated
Feb 22, 2013 (not updated in 13 years: call before relying on the address or phone)
Fax
(260) 436-7836
Medicaid ID
100462820 IN
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 7980 W Jefferson Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Emmanuel Cabe, MDFamily Medicine Physician1215928791
  2. David Lentz, DOFamily Medicine Physician1285625566
  3. Jeffrey Levenda, MDFamily Medicine Physician1619298411
  4. David Paris, M.D.Family Medicine Physician1134110430
  5. Steven Paris, DOFamily Medicine Physician1982228755
  6. Leeann Patterson, DNPFamily Nurse Practitioner1831167436

Verify J. Phillip Jackson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Licensing Board of Indiana
    Search for license 01037752A
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Indiana license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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J. Phillip Jackson among 3,506 family medicine physician records in Indiana

J. Phillip Jackson, M.D. is one of 3,506 family medicine physician records with a practice address in Indiana. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 81% newer
  • In a Medicare fileNo · 81% of these records are
  • In the CMS Doctors and Clinicians fileNo · 63% of these records are
  • Record last updated2013 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

249 family medicine physician records list a practice address in Fort Wayne

They are 249 of the 9,203 NPPES records with a practice address in Fort Wayne, and 3,506 family medicine physician records in Indiana. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 family medicine physician records with the nearest ZIP codes

  1. Emmanuel Cabe, MDFort Wayne, IN 468041215928791
  2. Jeffrey Easley, M.D.Fort Wayne, IN 468041790756914
  3. Andreana Hodgini, DOFort Wayne, IN 468041821033317
  4. Joseph Huguenard, MDFort Wayne, IN 468041598767782
  5. David Lentz, DOFort Wayne, IN 468041285625566
  6. David Paris, M.D.Fort Wayne, IN 468041134110430
  7. Naren Patel, M.D.Fort Wayne, IN 468041215914650
  8. Steven Ross, MDFort Wayne, IN 468041982648895

Common questions

What is J. Phillip Jackson, M.D.'s NPI number?

J. Phillip Jackson, M.D.'s National Provider Identifier (NPI) is 1881675080, issued on Nov 7, 2005. An NPI identifies a provider in billing; it is not a license.

Where is J. Phillip Jackson, M.D. located?

The NPPES record lists a practice address at 7980 W Jefferson Blvd, Fort Wayne, IN, 46804. Phone: (260) 436-9454. Providers update this record themselves, so call before visiting.

How can I verify J. Phillip Jackson, M.D.'s license?

NPPES lists Indiana license number 01037752A, as entered by the provider. Search the Medical Licensing Board of Indiana at https://www.in.gov/pla/professions/physicians-home/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.