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

Dr. Scott M Jackson, MD

Individual provider Dermatology Physician · NPI 1336267509

Dr. Scott M Jackson, MD is a Dermatology in Fayetteville, Arkansas. Graduated from Louisiana State University School of Medicine in New Orleans in 2007, 19 years ago. Practices with Ozark Dermatology Clinic, a 15-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
19
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
AR
In the registry since
2007
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

4375 N Vantage Dr Ste 305
Fayetteville, AR 72703-4984
Phone: (479) 273-7006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence E13748 (AR)

Record details

NPI number1336267509
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2007
Last updated in NPPESFebruary 22, 2022
Certification dateFebruary 22, 2022
Mailing address4375 N Vantage Dr Ste 305, Fayetteville, AR 72703-4984

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2007 (19 years in practice)
Group practice Ozark Dermatology Clinic — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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