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Active NPI 1194792796 Individual Practitioner Male Practitioner

Dr. Herschel S Jackson , MD

Urology • Murray, KY

Professional Overview & Biography Verified Profile Summary

Dr. Herschel Jackson, MD is a registered healthcare professional specializing in Urology in Murray, KY. Practice services are available at 300 S 8TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 S 8th St
Suite 107#

Murray, KY 420712400

Telephone 2707539240
Fax 2707673629
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Murray, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Murray, KY (180 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

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License KY 15974

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
64159742 (KY)
Commercial Insurance / Payer ID Railroad Medicare Id
020006711 (KY)
Commercial Insurance / Payer ID Anthem Id
000000045254 (KY)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Skylar Pharris , CRNA

Nurse Anesthetist, Certified Registered

NPI 1154733772

Certified Registered Nurse Anesthetist

Annette Baccus , ARNP

Nurse Practitioner - Family

NPI 1255480323

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 21, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 21, 2010

Registered at 300 S 8TH ST, SUITE 107#, MURRAY, KY 420712400 (Tel: 2707539240)

📍
Updated Business Mailing Address December 21, 2010

Registered at 300 S 8TH ST, SUITE 107#, MURRAY, KY 420712400 (Tel: 2707539240)

👤
Provider Name / Credentials Updated December 21, 2010

Recorded as HERSCHEL JACKSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2010

Urology (License #15974 in KY)

🟢
Initial NPI Registration & Enumeration March 02, 2006

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: 1194792796
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2006
Last Update: December 21, 2010
Sole Proprietor: Yes

Mailing Address

300 S 8th St, Suite 107#

Murray, KY 420712400

Phone: 2707539240

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.