Aycock, Gregory Jackson

Aycock, Gregory Jackson is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-0001. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant. Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant is his primary health care specialty. Aycock, Gregory Jackson can be contacted via phone (608) 263-8100.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-0001
Phone: (608) 263-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS40328 Florida
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X PENDING Missouri
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 618 Wisconsin
Pharmacy Service Providers / Pharmacist 183500000X 17641 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 75000176A Indiana

Profile Details

NPI number 1215924527
LBN Legal business name Aycock, Gregory Jackson
Credentials CAA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Jun 5th, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215924527 NPPES
Indiana Other 1103727700 ANTHEM PTAN

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