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

MS. Nicola Natasha Jackson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003470311

MS. Nicola Natasha Jackson, MD is a Rheumatology in Crestview Hills, Kentucky. Qualified in 2014, 12 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
12
Licensed in
KY
In the registry since
2019
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

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.

Crestview Hills, KY
Fax: (859) 344-4632

Additional practice locations (1)

  • 1270 Prince Avenue, Athens, GA 30606 — (706) 475-7055

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence 58883 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003470311
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2019
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024

Medicare enrollment

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

Medicare specialtyRHEUMATOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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