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

Logan J Jackson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740817261

Logan J Jackson, MD is a Diagnostic Radiology in Charlotte, North Carolina. Graduated from Medical University of South Carolina College of Medicine in 2020, 6 years ago. Practices with University of Virginia Physicians Group, a 1,667-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois, North Carolina, South Carolina and Virginia.

Years since qualifying
6
Trained at
Medical University of South Carolina College of Medicine
Licensed in
IL, NC, SC, VA
In the registry since
2020
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Charlotte, NC

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

  • 251 E Huron St, Chicago, IL 60611-3055 — (312) 695-4447
  • 1215 Lee St, Charlottesville, VA 22908-3055 — (434) 924-9400

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2025-03621 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence LL84285 (SC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0101285232 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 125077323 (IL)

Record details

NPI number1740817261
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice University Of Virginia Physicians Group — 1667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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