NPI age
18 years
Enumerated 2008-05-27
● Active
Type 1 · Individual
Randy Alan Jackson, M.D.
Jackson is 1 of 31 internal medicine providers in Texarkana and 1 of 12343 in Texas.
Primary specialty
Internal Medicine
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-05-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 12343 active internal medicine providers in Texas.
NPI age
18 years
≈ at median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-05Enumerated in NPPES
2008
2026
Where they practice
Practice location
2602 Saint Michael Dr, Suite 205
Texarkana, TX 755032387
Mailing address
7203 Bringle Rdg
Texarkana, TX 755035460
Specialties
-
Internal Medicine PrimaryA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 200544901 | |
| 01 (TX) | 8BU284 | BCBS OF TEXAS |
| 05 (AR) | 176329001 | |
| 05 (OK) | 200235880 A |
Practice context
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.