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

Garrett J Jackson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336381631

Garrett J Jackson, MD is a Neurosurgery in Fort Wayne, Indiana. Graduated from Indiana University School of Medicine in 2005, 21 years ago. Practices with Memorial Hospital, a 63-clinician group and accepts Medicare assignment. Licensed in Indiana and West Virginia.

Years since qualifying
21
Trained at
Indiana University School of Medicine
Licensed in
IN, WV
In the registry since
2009
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

11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845-1673
Phone: (260) 425-6780
Fax: (260) 425-6615
Show map & directions

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

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 01074880A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (WV)

Record details

NPI number1336381631
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2009
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Memorial Hospital — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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