Physician Assistant in Fayetteville, NC


Angela Jackson is a primary care provider established in Fayetteville, North Carolina and her medical specialization is Physician Assistant. The NPI number of this provider is 1003018136 and was assigned on June 2007. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and her NPI record was last updated 16 years ago.

Location Address413 OWEN DRIVE SUITE 201 FAYETTEVILLE, NC 28304
Location Phone(910) 323-9111
Mailing Address413 OWEN DRIVE SUITE 201 FAYETTEVILLE, NC 28304
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date06-01-2007
Last Update Date07-08-2007

A primary care provider (PCP) like Angela Jackson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Angela Jackson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License StateNC
Taxonomy DescriptionA 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.

Business Address

ZIP 28304
Phone: (910) 323-9111
Fax: (910) 484-2535

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Mailing Address

ZIP 28304
Phone: (910) 323-9111
Fax: (910) 484-2535

Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 6 + 1 + 6 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1003018136 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
Clinic/Center (Urgent Care)413 OWEN DRIVE SUITE 202
(910) 323-3183

Frequently Asked Questions

What is Mrs. Angela Jackson PA-C NPI number?

The NPI number assigned to this healthcare provider is 1003018136, registered as an "individual" on June 01, 2007

Where is Mrs. Angela Jackson PA-C located?

The provider is located at 413 Owen Drive Suite 201 Fayetteville, Nc 28304 and the phone number is (910) 323-9111

Which is Mrs. Angela Jackson PA-C specialty?

The provider's speciality is Physician Assistant

Is Mrs. Angela Jackson PA-C registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Mrs. Angela Jackson PA-C?

Medicare beneficiaries should expect a typical cost of $87.2 with an average copayment of $21.8 for new patient appointments. Established patients should expect a typical charge of $70.95 and an average copayment of 17.73. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Mrs. Angela Jackson PA-C was last updated on June 01, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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