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

Dr. John Ronald Jackson, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1114922911

Dr. John Ronald Jackson, MD is an Obstetrics/Gynecology in Edgewood, Kentucky. Graduated from University of Louisville School of Medicine in 1996, 30 years ago. Practices with Summit Medical Group Inc, a 799-clinician group and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
30
Trained at
University of Louisville School of Medicine
Licensed in
KY, OH
In the registry since
2005
Specialties on file
2
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

20 Medical Village Dr Ste 302
Edgewood, KY 41017-5402
Phone: (859) 341-2510
Fax: (859) 578-5888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 34447 (KY)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 35. 073600 (OH)

Record details

NPI number1114922911
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2005
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023
Mailing addressPo Box 635283, Cincinnati, OH 45263-5283

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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