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

Jackson Haynes, MD

Individual provider Emergency Medicine Physician · NPI 1255918157

Jackson Haynes, MD is a Family Practice in Pine Bluff, Arkansas. Qualified in 2021, 5 years ago. Practices with Southeast Arkansas Emergency Physicians LLP, an 18-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
5
Licensed in
AR
In the registry since
2021
Specialties on file
3
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

1601 W 40th Ave Ste 100
Pine Bluff, AR 71603-6069
Phone: (870) 541-6000
Fax: (870) 541-6009
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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 E15843 (AR)
Emergency Medicine Physician Taxonomy 207P00000X · Licence E15843 (AR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255918157
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022
Mailing address1601 W 40th Ave Ste 100, Pine Bluff, AR 71603-6069

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southeast Arkansas Emergency Physicians Llp — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pine Bluff