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Physician Profile

Alfred VAUGHN DERISE Jackson, MD

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At a glance

About Dr. Jackson

Based in Knoxville, TN, Alfred VAUGHN DERISE Jackson, MD is listed in the NPI registry under family medicine. Alfred is also listed as specializing in student in an organized health care education program and emergency medicine. NPI 1609189695 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

Medical School Other Graduated: 2010

Specialty

Family Medicine (Primary)
Emergency Medicine (Additional)

Credentials & Licensing

TN licenceAs reported to the NPI registry
No. 50821As reported
NPINational Provider Identifier
1609189695Issued 2010

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Dr. Jackson's specialty?

Dr. Jackson is a family doctor in Knoxville, TN. That is the designation recorded for this NPI in the federal registry, where it is listed as “Family Medicine”.

NPI registry

Where can I find Dr. Jackson?

Dr. Jackson is listed at 930 Adell Ree Park Ln, Knoxville, TN 37909. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Dr. Jackson?

The number on file is (865) 769-2600. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Dr. Jackson?

Dr. Jackson's National Provider Identifier is 1609189695. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Dr. Jackson's medical education?

Dr. Jackson attended Other, graduating in 2010. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Dr. Jackson have?

Dr. Jackson has 16 years experience. Calculated from a graduation year of 2010, reported in the CMS National Downloadable File.

CMS public data

Is Dr. Jackson's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Jackson. If this is you, claiming it is free.

Guide.md

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