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

Nicholas Jackson

Individual provider Surgery Physician · NPI 1205298387

Nicholas Jackson is a General Surgery in Louisville, Kentucky. Graduated from University of Kentucky College of Medicine in 2016, 10 years ago. Practices with Community Medical Associates Inc, a 1,365-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
10
Trained at
University of Kentucky College of Medicine
Licensed in
KY
In the registry since
2016
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Practice location Address checks out

1000 Dupont Rd
Louisville, KY 40207-4611
Phone: (502) 899-6150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence R4098 (KY)

Record details

NPI number1205298387
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 28, 2016
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Community Medical Associates Inc — 1365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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