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

Dr. Jackie D Maxey, MD

Individual provider Family Medicine Physician · NPI 1073525861

Dr. Jackie D Maxey, MD is a Family Practice in London, Kentucky. Qualified in 1999, 27 years ago. Practices with Memorial Hospital, Inc, a 60-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
27
Licensed in
KY
In the registry since
2006
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

102 Professional Dr Ste #2
London, KY 40741-8857
Phone: (606) 878-9611
Fax: (606) 862-7565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35548 (KY)

Record details

NPI number1073525861
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 12, 2006
Last updated in NPPESAugust 15, 2014
Mailing addressPo Box 1676, London, KY 40743-1676

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Memorial Hospital, Inc. — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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