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Deactivated NPI 1821496340 Deactivated / Inactive NPI Male Practitioner

Eric Jackson

Hearing Instrument Specialist • St Augustine, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Eric Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 16, 2014
NPI Deactivation Date August 08, 2017
Total Practice Duration ~3 Years of Practice (2014 – 2017)

Professional Overview & Biography Verified Profile Summary

Eric Jackson was a registered Hearing Instrument Specialist practicing in St Augustine, FL. Throughout an active medical career spanning 3 years, Eric Jackson provided care at the practice location at 1740 TREE BLVD until profile deactivation on 2017-08-08.

Practice Location & Contact Primary Location

Practice Address

1740 Tree Blvd
Suite 114

St Augustine, FL 320845720

Telephone 9047702333
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Hearing Instrument Specialist in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
8 Specialists

Practicing in St Augustine, FL (1198 Statewide)

Telehealth Adoption Rate
0.0% 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

Hearing Instrument Specialist Primary Specialty

NUCC Taxonomy Code: 237700000X

State License FL AS4975

Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society

Practice Associates & Co-Workers

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

5 Associated Practitioners
James Bronson

Hearing Instrument Specialist

NPI 1013305051
Mary Leckey

Hearing Instrument Specialist

NPI 1053761635
Matthew Kehoe

Hearing Instrument Specialist

NPI 1295133569
Joseph Gallagher

Hearing Instrument Specialist

NPI 1417345406
Daniel Fennell

Hearing Instrument Specialist

NPI 1457749491

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 08, 2017

Record deactivated on August 08, 2017

NPI Profile Active December 16, 2014

NPI status registered as active in NPPES database

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Updated Practice Location December 16, 2014

Registered at 1740 TREE BLVD, SUITE 114, ST AUGUSTINE, FL 320845720 (Tel: 9047702333)

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Updated Business Mailing Address December 16, 2014

Registered at 1740 TREE BLVD, SUITE 114, ST AUGUSTINE, FL 320845720 (Tel: 9047702333)

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Provider Name / Credentials Updated December 16, 2014

Recorded as ERIC JACKSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2014

Hearing Instrument Specialist (License #AS4975 in FL)

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Initial NPI Registration & Enumeration December 16, 2014

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: 1821496340
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 16, 2014
Last Update: December 16, 2014
Deactivation Date: August 08, 2017

Mailing Address

1740 Tree Blvd, Suite 114

St Augustine, FL 320845720

Phone: 9047702333

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.