Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598345647 Individual Practitioner Male Practitioner

Dr. Jackson David Reynolds , MD

General Practice • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Jackson Reynolds, MD is a registered healthcare professional specializing in General Practice in Phoenix, AZ. Practice services are available at 1300 N 12TH ST STE 508 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1300 N 12th St Ste 508

Phoenix, AZ 850062849

Telephone 6028393927
Fax 6028394233
Associated Practice Facility / Clinic
🏢 Banner Imaging Associates Plc Facility NPI 1124077755

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.7 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
65 Specialists

Practicing in Phoenix, AZ (259 Statewide)

Telehealth Adoption Rate
4.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-18
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License AZ 72531

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License AZ 72531

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License AZ 72531

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Trevin Reyes , MD

Student in an Organized Health Care Education/Training Program

NPI 1003743725

Doctor of Medicine (M.D.)

Dr. Hugh Alessi , MD

Internal Medicine

NPI 1003757287

Doctor of Medicine (M.D.)

Dr. Fadi Khoury , MD

Internal Medicine

NPI 1013597459

Doctor of Medicine (M.D.)

Dr. Brittnay Hong , MD

Student in an Organized Health Care Education/Training Program

NPI 1013845627

Doctor of Medicine (M.D.)

Dr. Jake Baldasare , MD

Student in an Organized Health Care Education/Training Program

NPI 1023945946

Doctor of Medicine (M.D.)

Cecil Babul

Student in an Organized Health Care Education/Training Program

NPI 1033056585

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2024

Internal Medicine (License #72531 in AZ)

📍
Updated Business Mailing Address February 29, 2024

Registered at 1111 E MCDOWELL RD, PHOENIX, AZ 850062612

NPI Profile Active April 13, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 13, 2021

Registered at 1300 N 12TH ST STE 508, PHOENIX, AZ 850062849 (Tel: 6028393927)

📍
Updated Business Mailing Address April 13, 2021

Registered at 400 E EARLL DR UNIT 631, PHOENIX, AZ 850120034 (Tel: 7064039285)

👤
Provider Name / Credentials Updated April 13, 2021

Recorded as JACKSON REYNOLDS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 13, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598345647
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2021
Last Update: March 18, 2024
Sole Proprietor: No

Mailing Address

1111 E Mcdowell Rd

Phoenix, AZ 850062612

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.