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

Mr. Colin Benjamin Jackson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104243278

Mr. Colin Benjamin Jackson is an Obstetrics/Gynecology in Boston, Massachusetts. Graduated from Tufts University School of Medicine in 2014, 12 years ago. Practices with Lgh Medical Group, Inc, a 163-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
12
Trained at
Tufts University School of Medicine
Licensed in
MA
In the registry since
2014
Specialties on file
2
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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.

Boston, MA
Fax: (617) 414-7300

No coordinates on file. Search this address in Google Maps

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 274359 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104243278
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 26, 2014
Last updated in NPPESDecember 9, 2021
Certification dateDecember 9, 2021

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Lgh Medical Group, Inc. — 163 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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