Question 1

What type of a medical provider is Justin Jackson?

Accepted Answer

Justin Jackson is a Nurse Practitioner (Family).

Question 2

Where does Justin Jackson practice medicine?

Accepted Answer

Justin Jackson has the following practice address:1375 W RIDGE RD, WYTHEVILLE, VA 24382

Question 3

Does this provider have a license number?

Accepted Answer

Justin Jackson has the following license number: License Number 0024180798 issued in Virginia.

Question 4

Does Justin Jackson accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Justin Jackson have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Justin Jackson a member of any Medical Groups?

Accepted Answer

Justin Jackson is affiliated with one medical group in the WYTHEVILLE area, CARILION GILES COMMUNITY HOSPITAL.

Question 7

Does Justin Jackson participate in PECOS?

Accepted Answer

Yes, Justin Jackson participates in PECOS.

Question 8

What phone number can I call to contact Justin Jackson?

Accepted Answer

You can call the following number: (276)-228-8686

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Justin Jackson.

Question 10

Is Justin Jackson  affiliated with any hospitals?

Accepted Answer

The provider is affiliated with 2 hospitals, including: CARILION GILES COMMUNITY HOSPITAL

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 3 years ago (11/22/2022).

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20210621002691
PECOS Individual PAC ID:	9032519509
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Justin Jackson

Overview