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

Dr. Ian Andrew Jackson, MD

Individual provider Family Medicine Physician · NPI 1598084691

Dr. Ian Andrew Jackson, MD is a Family Practice in Stevensville, Michigan. Graduated from University of Texas Medical School at San Antonio in 2010, 16 years ago. Practices with Lakeland Medical Practices, a 287-clinician group and accepts Medicare assignment. Licensed in Kentucky, Michigan, Tennessee and Texas.

Years since qualifying
16
Trained at
University of Texas Medical School at San Antonio
Licensed in
KY, MI, TN, TX
In the registry since
2010
Specialties on file
4
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

5515 Cleveland Ave
Stevensville, MI 49127-9670
Phone: (269) 429-9644
Fax: (269) 429-4002
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301108841 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 51389 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 47055 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence P1331 (TX)

Record details

NPI number1598084691
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2010
Last updated in NPPESDecember 4, 2015

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2010 (16 years in practice)
Group practice Lakeland Medical Practices — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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