Individual provider

Woody Jackson, MD

Family Medicine Physician Internal Medicine Physician Medicare enrolled

Woody Jackson, MD is a Family Medicine Physician in Wilmington, NC, registered under NPI 1073587598. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 2131 S 17TH ST, Wilmington, NC 28401. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2131 S 17TH ST, Wilmington, NC 28401 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD063122L PA Family Medicine Physician primary
MD063122L PA Internal Medicine Physician

This provider holds licence MD063122L issued in PA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Family Practice
PAC ID
8729077516

Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family Medicine covers

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
Allopathic & Osteopathic Physicians Family Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207Q00000X Family Medicine Physician MD063122L PA primary
207R00000X Internal Medicine Physician MD063122L PA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1073587598 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 13, 2006
Last updatedAug 19, 2014
StatusActive
Sole proprietorNo
CredentialMD
Practice address 2131 S 17TH ST
Wilmington, NC 28401
(910) 815-5830
Fax (910) 815-5698
Mailing address PO BOX 3515
Chapel Hill, NC 27515
Other identifiers 5919880 (NC)
001688698 (PA)
232359401 · MAIN LINE HEALTHCARE (PA)
Q0029K (SC)
This record was last updated on Aug 19, 2014, roughly 12 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1073587598 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 7 3 5 8 7 5 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 5 3 1 8 5 5 9

Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1073587598?
NPI 1073587598 is the National Provider Identifier assigned to Woody Jackson, MD in Wilmington, NC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family Medicine Physician cover?
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
How do I contact Woody Jackson, MD?
The phone number on file with NPPES is (910) 815-5830, last updated Aug 19, 2014. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Woody Jackson, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1073587598 a valid number?
Yes. 1073587598 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.