Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Mark Jackson, MD

Individual provider Urology Physician · NPI 1255659082

Charles Mark Jackson, MD is an Urology in Fayetteville, Arkansas. Graduated from Louisiana State University School of Medicine in New Orleans in 2010, 16 years ago. Practices with Washington Regional Medical System, a 240-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arkansas.

Years since qualifying
16
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
AR
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3 E Appleby Rd Ste 201
Fayetteville, AR 72703-3158
Phone: (479) 404-1100
Fax: (479) 404-1101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence E-9270 (AR)

Record details

NPI number1255659082
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2010
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023
Mailing address3 E Appleby Rd Ste 201, Fayetteville, AR 72703-3158

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2010 (16 years in practice)
Group practice Washington Regional Medical System — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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