Individual Healthcare Provider
Jaclyn Blair Thornton, NP
Provider's NPPES record last updated: March 10, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1255807087
- Primary Specialty
- Family Medicine — Adult Medicine
- Practice Location
- Medford, Oregon
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 2:29 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Adult Medicine
Allopathic & Osteopathic Physicians
The NUCC recommends this code not be used. Choose a more appropriate code.
Taxonomy code 207QA0505X Nurse Practitioner
Primary Care
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP2300X
Provider-Reported License Information
- Family Medicine (Oregon)
- 10003878
- Nurse Practitioner (South Carolina)
- 22326
Practice Locations
Practice Location
Pain Specialist It Southern Oregon
825 Bennett Ave
Medford, Oregon 97504
Phone: (541) 779-5228
Additional Practice Location
9 Claire Dr
Hilton Head Island, South Carolina 29928-3937
Phone: (901) 485-3766
Record Information
- Enumeration Date
- October 19, 2018
- Provider's NPPES Record Last Updated
- March 10, 2023
- Certification Date
- March 10, 2023
- NPISignal NPPES Dataset
- August 2026
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