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Active NPI 1558665703 Individual Practitioner Male Practitioner

Micah Roy Jackson , PA

Physician Assistant • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Micah Jackson, PA is a registered healthcare professional specializing in Physician Assistant in Tyler, TX. Practice services are available at 1814 ROSELAND BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, dexamethasone sodium phosphate, 1 mg, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1814 Roseland Blvd
Suite 200

Tyler, TX 757014234

Telephone 9035926000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.1 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
99 Specialists

Practicing in Tyler, TX (11140 Statewide)

Telehealth Adoption Rate
6.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
23 19 $160.00 $60.44

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA06963

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Dr. Timothy Lambert , DC, FNP-C

Nurse Practitioner - Family

NPI 1073561494

Doctor of Chiropractic, Family Nurse Practitioner (Certified)

Dr. Spencer Shastid , DO

Internal Medicine

NPI 1093336695

Doctor of Osteopathic Medicine (D.O.)

Jane Davidson , NP

Nurse Practitioner

NPI 1124523840

Nurse Practitioner

Wendy Prewett

Nurse Practitioner - Acute Care

NPI 1134633266
Melissa Neal , FNP

Nurse Practitioner

NPI 1144239005

Family Nurse Practitioner

Dr. Charles Gordon , MD

Neurological Surgery

NPI 1164535142

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2016

Registered at 1814 ROSELAND BLVD, SUITE 200, TYLER, TX 757014234 (Tel: 9035926000)

📍
Updated Business Mailing Address April 19, 2016

Registered at 700 OLYMPIC PLAZA CIR, STE 700, TYLER, TX 757011954 (Tel: 9035926000)

👤
Provider Name / Credentials Updated April 19, 2016

Recorded as MICAH JACKSON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2016

Physician Assistant (License #PA06963 in TX)

🟢
Initial NPI Registration & Enumeration January 03, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558665703
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2011
Last Update: April 19, 2016
Sole Proprietor: No

Mailing Address

700 Olympic Plaza Cir, Ste 700

Tyler, TX 757011954

Phone: 9035926000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.