CMS-1500 Box 24J / 33a • NPI
1689629891
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
246XS1301X
Licensed & Credentialed Spec/Tech, Cardiovascular, Sonography
Box 32 Service Location & ZIP+4
301 W BOUNDARY AVE, WINNFIELD, LA, 71483-3427
✓ 9-Digit EDI 837 ZIP+4 (71483-3427)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1689629891 (HOWARD WOODROW JACKSON, R.D.C.S.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1689629891 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | HOWARD WOODROW JACKSON, R.D.C.S. |
| Plain-English Specialty | Licensed & Credentialed Spec/Tech, Cardiovascular, Sonography NUCC Code: 246XS1301X (Spec/Tech, Cardiovascular, Sonography) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 301 W BOUNDARY AVE, WINNFIELD, LA, 71483-3427 |
| Practice Telephone / Fax | Tel: (318) 648-3064 | Fax: (318) 628-3285 |
| Administrative Mailing Address | 25 KANOME ROAD, LECOMPTE, LA, 71346-9566 |
| Enumeration & Last Sync | Enumerated: 2006-05-24 | CMS Record Updated: 2009-08-04 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (246XS1301X)
What Does Taxonomy Code 246XS1301X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 246XS1301X translates to:
"Licensed & Credentialed Spec/Tech, Cardiovascular, Sonography"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (HOWARD WOODROW JACKSON, R.D.C.S.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
246XS1301X — Spec/Tech, Cardiovascular, SonographyPlain English: Licensed & Credentialed Spec/Tech, Cardiovascular, Sonography | State: LA | License: 16604 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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