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

Paul Jackson, DO

Individual provider Hospitalist Physician · NPI 1114422599

Paul Jackson, DO is an Emergency Medicine in Corpus Christi, Texas. Qualified in 2018, 8 years ago. Practices with Southeastern Emergency Physicians LLC, a 786-clinician group and accepts Medicare assignment. Licensed in Kentucky and Tennessee.

Years since qualifying
8
Licensed in
KY, TN
In the registry since
2018
Specialties on file
5
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

600 Elizabeth St Gme
Corpus Christi, TX 78404
Phone: (361) 861-1864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5298 (TN)
Hospitalist Physician Taxonomy 208M00000X · Licence 05035 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence 05035 (KY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 05035 (KY)

Record details

NPI number1114422599
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2018
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024
Mailing address600 Elizabeth St, Gme, Corpus Christi, TX 78404

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southeastern Emergency Physicians Llc — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Corpus Christi