Doctor profile · Federal record
Dr. Anita Jackson, M.D.
Otolaryngology Physician · Lumberton, NC
- NPI 1346286010
- 20 yrs on file
- Female
- Group practice
- Sanctions on record
Practice & contact
- Primary practice
-
4315 Ludgate St
Lumberton, NC 283582460
(910) 738-1919
fax (910) 738-1991 - Mailing address
-
Po Box 1046
Lumberton, NC 283591046
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- December 13, 2010
- Specialty taxonomy
- 207Y00000X — NUCC code
- State license (1)
- North Carolina #9700991
- Medicaid
- NC #892015Y
Federal sanctions & exclusions
1 exclusion record on file
Always verify with the official OIG LEIE.- 1128a1 — excluded May 20, 2024 / reinstated Nov 30, -0001
Open Payments
Industry payments received
All-time total
$41
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Kedrion Biopharma, INC. | 2 | $40.72 |
By nature of payment
Frequently asked questions
What is Dr. Anita Jackson's medical specialty?
Dr. Anita Jackson practices Otolaryngology Physician in Lumberton, NC.
Where does Dr. Anita Jackson practice?
Dr. Anita Jackson practices at 4315 Ludgate St, Lumberton, NC 283582460. Office phone: 9107381919.
What is Dr. Anita Jackson's NPI?
Dr. Anita Jackson's National Provider Identifier (NPI) is 1346286010, issued by NPPES.