Samantha Jackson, PAC

ActiveIndividual ProviderPhysician Assistant
NPI issued: January 24, 2011

Quick Facts

NPI Number
1801191754
TypeIndividual
StatusActive
SpecialtyPhysician Assistant
Taxonomy363A00000X — Physician Assistant
Phone
(336) 349-5040
StateNC

NPI Validation Status: Verified

Valid 10-digit NPI number (1801191754)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (January 24, 2011)
Data source: CMS NPPES

Provider Overview

SAMANTHA JACKSON, PAC is a Physician Assistant provider based in Reidsville, NC who has been registered with CMS since 2011. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1801191754
Provider TypeIndividual Provider
GenderFemale
CredentialPAC
StatusActive
Enumeration DateJanuary 24, 2011

Practice Location

CityReidsville
StateNC
ZIP Code27320-5451
Phone(336) 349-5040

Specialties & Licenses

★ Primary
SpecialtyPhysician Assistant
Taxonomy Code363A00000X
License StateNC

Mailing Address

CityReidsville
StateNC
ZIP Code27320-5451
Phone(336) 349-5040
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1801191754 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1801191754for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1801191754 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physician Assistant

Physician Assistants (PAs) practice medicine under the supervision of a licensed physician, conducting physical exams, diagnosing conditions, prescribing treatments, and assisting in surgeries.

📊
158,607
Physician Assistant Providers in the US

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People Also Ask

What is Samantha Jackson's NPI number?
Samantha Jackson's NPI number is 1801191754, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Samantha Jackson's NPI currently active?
Yes, Samantha Jackson's NPI status is Active as of the latest CMS NPPES database updates.
What does Samantha Jackson specialize in?
Samantha Jackson specializes in Physician Assistant. The healthcare taxonomy code associated with this specialty is 363A00000X.
Where does Samantha Jackson practice?
Samantha Jackson practices in Reidsville, NC 27320-5451.
When was Samantha Jackson's NPI issued?
Samantha Jackson's NPI was issued on January 24, 2011.
What is Samantha Jackson's provider type?
Samantha Jackson is registered as an Individual Provider under CMS NPI Type 1.