John Jackson
NPI 1063073310ActiveIndividual· Speech-Language Pathologist· Maitland, FL
Speech-Language Pathologist in Maitland, Florida, licensed in MA, with an NPI issued in June 2019. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1063073310 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 27, 2019 |
| Last updated in NPPES | Apr 15, 2020 |
| Certified by provider | Apr 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 77541 | MA |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in Florida, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | John Jackson · Comm Mntl Hlth Cntr | 1128a1 | Jul 19, 2012 | Pompano Beach, FL |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | Possible (name) | See above |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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