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

Dr. Ivan D. Jackson, MD

Individual provider Internal Medicine Physician · NPI 1205839362

Dr. Ivan D. Jackson, MD is an Internal Medicine in Dothan, Alabama. Graduated from University of South Alabama College of Medicine in 1979, 47 years ago. Practices with Wiregrass Clinic LLC, a 67-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alabama.

Years since qualifying
47
Trained at
University of South Alabama College of Medicine
Licensed in
AL
In the registry since
2005
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

210 Westside Dr
Dothan, AL 36303-1928
Phone: (334) 793-5074
Fax: (334) 793-6460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 11508 (AL)

Record details

NPI number1205839362
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2005
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021
Mailing address210 Westside Dr, Dothan, AL 36303-1928

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 1979 (47 years in practice)
Group practice Wiregrass Clinic Llc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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