DR BRYCE V JACKSON
NPI 1790832210
Specialist in Panama City, FL
NPI Status: Active since January 05, 2007
Contact Information
1937 HARRISON AVE
PANAMA CITY, FL
ZIP 32405
Phone: (850) 784-6877
Fax: (850) 785-5346
- Organization
- Specialist
- Accepts Insurance
- CLIA Number: 10D0270432
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About DR BRYCE V JACKSON
This page provides the complete NPI Profile along with additional information for Dr Bryce V Jackson, a provider established in Panama City, Florida operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1790832210 assigned on January 2007. The practitioner's primary taxonomy code is 174400000X with license number ME48532 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. Dr Bryce V Jackson operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Dr Bryce V Jackson. The authorized official of this NPI record is Dr. Bryce Vincent Jackson M.d. (President)
- NPI
- 1790832210
- Provider Legal Name
- NORTH FLORIDA OBSTETRIC & GYN CENTER PA
- Other Organization Name
- DR BRYCE V JACKSON
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1937 HARRISON AVE PANAMA CITY, FL 32405
- Location Phone
- (850) 784-6877
- Location Fax
- (850) 785-5346
- Mailing Address
- 1937 HARRISON AVE PANAMA CITY, FL 32405
- Mailing Phone
- (850) 784-6877
- Mailing Fax
- (850) 785-5346
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-05-2007
- Last Update Date
- 01-15-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- ME48532
- License State
- FL
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 03638 | OTHER (01) | FL | BLUE CROSS BLUE SHIELD |
| 043532500 | MEDICAID (05) | FL | |
| 03638 | MEDICARE ID-TYPE UNSPECIFIED (04) | FL | MEDICARE PROVIDER NUMBER |
| D50772 | MEDICARE UPIN (02) | FL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D0270432
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- BRYCE V. JACKSON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Dr Bryce V Jackson in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for DR BRYCE V JACKSON
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 8 | 3 | 2 | 2 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 16 | 3 | 4 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 6 + 3 + 4 + 2 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1790832210 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1467423632 | MR. BRYCE V JACKSON M.D. Individual | Obstetrics & Gynecology | 1937 HARRISON AVE PANAMA CITY, FL 32405 (850) 784-6877 |
| 1457556995 | ZAKIR PATEL MD PA Organization | Clinic/Center | 1937 HARRISON AVE PANAMA CITY, FL 32405 (850) 769-6367 |
| 1437114634 | ZAKIRHUSAIN I PATEL MD Individual | Internal Medicine | 1937 HARRISON AVE PANAMA CITY, FL 32405 (850) 769-2393 |
| 1790877512 | HEATHER SHAFFER MD PA Organization | Family Medicine | 1937 HARRISON AVE PANAMA CITY, FL 32405 (850) 785-3464 |
| 1205896636 | DR. KEITH B BANTON M.D. Individual | Family Medicine | 1937 HARRISON AVE PANAMA CITY, FL 32405 (850) 763-4700 |
| 1235150863 | PANAMA CITY PEDIATRICS PA Organization | Pediatrics | 1937 HARRISON AVE PANAMA CITY, FL 32405 (850) 747-3048 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790832210, enumerated in the NPI registry as an "organization" on January 05, 2007
The provider is located at 1937 Harrison Ave Panama City, Fl 32405 and the phone number is (850) 784-6877
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Aetna CVS Health, Ambetter Health, Ambetter of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 10D0270432 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on January 05, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.