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

Dr. Byron Jackson I, DC

Individual provider Rehabilitation Chiropractor · NPI 1205133030

Dr. Byron Jackson I, DC is a Chiropractic in Mayfield Heights, Ohio. Qualified in 2008, 18 years ago. Practices with Basic Med LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
18
Licensed in
OH
In the registry since
2011
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

6009 Landerhaven Dr C2
Mayfield Heights, OH 44124-4192
Phone: (770) 714-1157
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Chiropractor (primary) Taxonomy 111NR0400X · Licence DC.4408 (OH)

Record details

NPI number1205133030
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedFebruary 14, 2011
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing addressPo Box 201852, Shaker Heights, OH 44120-8114

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Basic Med Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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