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

Dr. Jon Richard Jackson, MD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1013909118

Dr. Jon Richard Jackson, MD is an Internal Medicine in Baton Rouge, Louisiana. Qualified in 1991, 35 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
35
Licensed in
LA
In the registry since
2005
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

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone: (225) 765-4050
Fax: (225) 765-4046
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 12488R (LA)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 12488R (LA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 12488R (LA)
Hospitalist Physician Taxonomy 208M00000X · Licence 12488R (LA)

Record details

NPI number1013909118
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 16, 2005
Last updated in NPPESMarch 26, 2021
Certification dateMarch 26, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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