Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1952330409 Deactivated / Inactive NPI Male Practitioner

Guy L Jackson , PA

Physician Assistant - Medical • Boston, MA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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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, Guy Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 30, 2006
NPI Deactivation Date March 18, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Guy Jackson, PA was a registered Physician Assistant - Medical practicing in Boston, MA. Throughout an active medical career spanning 16 years, Guy Jackson provided care at the practice location at 330 BROOKLINE AVE until profile deactivation on 2022-03-18.

Practice Location & Contact Primary Location

Practice Address

330 Brookline Ave

Boston, MA 022155400

Telephone 6176679383
Fax 6176679384
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.2 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
157 Specialists

Practicing in Boston, MA (895 Statewide)

Telehealth Adoption Rate
10.2% 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

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License MA 261

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003089152

Doctor of Medicine (M.D.), MMSC

NPI 1003136771

Doctor of Medicine (M.D.)

NPI 1003261785

Doctor of Medicine (M.D.)

Dr. Julia Berg , MD

Internal Medicine

NPI 1003300765

Doctor of Medicine (M.D.)

Dr. Michael Goldstein , PhD

Psychologist - Clinical

NPI 1003410929

Doctor of Philosophy (Ph.D.)

NPI 1003439944

Doctor of Medicine (M.D.)

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 March 18, 2022

Record deactivated on March 18, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 330 BROOKLINE AVE, BOSTON, MA 022155400 (Tel: 6176679383)

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Updated Business Mailing Address July 08, 2007

Registered at 330 BROOKLINE AVE, BOSTON, MA 022155400 (Tel: 6176679383)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GUY JACKSON, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #261 in MA)

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Initial NPI Registration & Enumeration June 30, 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: 1952330409
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2006
Last Update: July 08, 2007
Deactivation Date: March 18, 2022

Mailing Address

330 Brookline Ave

Boston, MA 022155400

Phone: 6176679383

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.