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

Daniel Jackson, MD

Individual provider Psychiatry Physician · NPI 1477991164

Daniel Jackson, MD is a Psychiatry in Martinsburg, West Virginia. Graduated from University of Louisville School of Medicine in 2013, 13 years ago. Practices with Grandw Inc, a 90-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in District of Columbia and West Virginia.

Years since qualifying
13
Trained at
University of Louisville School of Medicine
Licensed in
DC, WV
In the registry since
2013
Specialties on file
3
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

400 Foxcroft Ave Ste 104
Martinsburg, WV 25401-5302
Phone: (304) 513-3495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 113 Comanche Rd, Fort Meade, SD 57741-1002 — (605) 347-2511

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 35058 (WV)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD045239 (DC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477991164
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2013
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026
Mailing address1005 White Willow Way, Morgantown, WV 26505-6119

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Grandw Inc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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