Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639461734 Individual Practitioner Female Practitioner

Dr. Nneka Safiya Edwards-Jackson , MD

Pediatrics • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Nneka Edwards-Jackson, MD is a registered healthcare professional specializing in Pediatrics in Phoenix, AZ. Practice services are available at 1919 E THOMAS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1919 E Thomas Rd

Phoenix, AZ 850167710

Telephone 6029330777
Associated Practice Facility / Clinic
🏢 Phoenix Children's Hospital Facility NPI 1760480503

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.4 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
440 Specialists

Practicing in Phoenix, AZ (1353 Statewide)

Telehealth Adoption Rate
0.2% 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: 2023-08-28
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AZ 65492

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License CA A124478

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003034588

Doctor of Medicine (M.D.)

Dr. Nina Souders , MD

Internal Medicine

NPI 1023086758

Doctor of Medicine (M.D.)

NPI 1023181898

Doctor of Osteopathic Medicine (D.O.)

NPI 1033322631

Doctor of Osteopathic Medicine (D.O.)

NPI 1043298920

Doctor of Medicine (M.D.)

NPI 1053800946

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location August 28, 2023

Registered at 1919 E THOMAS RD, PHOENIX, AZ 850167710 (Tel: 6029330777)

📍
Updated Business Mailing Address August 28, 2023

Registered at 2108 E THOMAS RD STE 130, PHOENIX, AZ 850160008 (Tel: 3233613550)

NPI Profile Active May 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 24, 2017

Registered at 4650 W SUNSET BLVD, LOS ANGELES, CA 900276062 (Tel: 3236602450)

📍
Updated Business Mailing Address May 24, 2017

Registered at 3701 WILSHIRE BLVD STE 600, LOS ANGELES, CA 900102814 (Tel: (323) 361-3550)

👤
Provider Name / Credentials Updated May 24, 2017

Recorded as NNEKA EDWARDS-JACKSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2017

Pediatrics (License #A124478 in CA)

NPI Profile Active May 30, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 30, 2014

Registered at 3175 KIRWIN AVENUE, UNIT 158, MISSISSAUGA, ONTARIO L5A 3M4 (Tel: 9052773979)

📍
Updated Business Mailing Address May 30, 2014

Registered at 3175 KIRWIN AVENUE, UNIT 158, MISSISSAUGA, ONTARIO L5A 3M4 (Tel: 9052773979)

👤
Provider Name / Credentials Updated May 30, 2014

Recorded as NNEKA EDWARDS-JACKSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2014

Pediatrics (License #A124478 in CA)

🟢
Initial NPI Registration & Enumeration May 07, 2011

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: 1639461734
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2011
Last Update: August 28, 2023
Sole Proprietor: Yes

Mailing Address

2108 E Thomas Rd Ste 130

Phoenix, AZ 850160008

Phone: 3233613550

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.