1. Home
  2. Directory
  3. Arkansas
  4. Pine Bluff
  5. Family Medicine
  6. NPI Profile

JACKSON HAYNES MD
NPI 1255918157
Family Medicine in Pine Bluff, AR

Active since March 26, 2021PECOS EnrolledAccepts Medicare Assignment
1601 W 40TH AVE STE 100, PINE BLUFF, AR 71603(870) 541-6000(870) 541-6009 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 27, 2022, Mar 26, 2021 (2 updates tracked since 2021).

About Jackson Haynes Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON HAYNES MD (NPI 1255918157) is an individual family medicine provider in Pine Bluff, Arkansas, licensed in Arkansas (E15843) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1255918157
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACKSON HAYNESCredential: MD
Location Address1601 W 40TH AVE STE 100Pine Bluff, AR 71603-6069
Mailing Address1601 W 40th Ave Ste 100Pine Bluff, AR 71603-6069 · (870) 541-6000 · Fax (870) 541-6009
Phone(870) 541-6000
Fax(870) 541-6009
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 26, 2021
Last NPPES UpdateSeptember 27, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2022
✔ NPI 1255918157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · E15843
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License E15843 (AR)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1601 W 40TH AVE STE 100, Pine Bluff, AR 71603
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jackson Haynes Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234515669
PECOS Enrollment IDI20221007001309
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show Jackson Haynes reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeast Arkansas Emergency Physicians LLP
Same address
Emergency Medicine
1600 W 40TH AVE
Pine Bluff, AR 71603
  • Reassigned Medicare billing, Arkansas enrollment
  • 65 clinicians in this Medicare group
NPI 1922475078 (870) 541-7100
Ess Of Fordyce LLC
35 mi
Emergency Medicine
201 N CLIFTON ST
Fordyce, AR 71742
  • Reassigned Medicare billing, Arkansas enrollment
  • 125 clinicians in this Medicare group
NPI 1821547977 (870) 352-6300
Hospital Care Consultants Of Fordyce LLC
35 mi
Hospitalist
201 N CLIFTON ST
Fordyce, AR 71742
  • Reassigned Medicare billing, Arkansas enrollment
  • 121 clinicians in this Medicare group
NPI 1316497464 (870) 352-6300
Ess Of Mcgehee LLC
52 mi
Emergency Medicine
900 S 3RD ST
Mc Gehee, AR 71654
  • Reassigned Medicare billing, Arkansas enrollment
  • 81 clinicians in this Medicare group
NPI 1639822653 (870) 222-5600
Ess Hospitalist LLC
73 mi
Hospitalist
1015 UNITY RD
Crossett, AR 71635
  • Reassigned Medicare billing, Arkansas enrollment
  • 152 clinicians in this Medicare group
NPI 1881967305 (866) 931-8882
Arkansas Emergency Staffing Solutions, Inc
97 mi
Emergency Medicine
2001 S MAIN ST
Hope, AR 71801
  • Reassigned Medicare billing, Arkansas enrollment
  • 323 clinicians in this Medicare group
NPI 1275774630 (870) 777-2323
Southeastern Emergency Physicians LLC
551 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Arkansas enrollment
  • 310 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
168 services165 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
145 services139 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
47 services46 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERTA NARTEY MD
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
SARVANI DEVI SARANYA PENTAKOTA
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
AHMED YAHYA AMIN MD
Family Medicine
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
DR. SREE CHELLAPPAN MD
Family Medicine
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6000
MUSTAFA AL-MUSAWI
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
MARIAN O OBI MD
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
KHALED HASSAN MD
Family Medicine
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
CANDACE WILSON
Family Medicine
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Haynes's NPI number?

The NPI number for Jackson Haynes is 1255918157. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Jackson Haynes located?

Jackson Haynes practices at 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603. The listed phone number is (870) 541-6000.

What is Jackson Haynes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jackson Haynes enrolled in Medicare?

Yes. Jackson Haynes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jackson Haynes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Haynes reassigns Medicare benefits to 7 organizations: Southeast Arkansas Emergency Physicians LLP (Pine Bluff, AR), Ess Of Fordyce LLC (Fordyce, AR), Hospital Care Consultants Of Fordyce LLC (Fordyce, AR), Ess Of Mcgehee LLC (Mc Gehee, AR), Ess Hospitalist LLC (Crossett, AR) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackson Haynes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackson Haynes accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Jackson Haynes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackson Haynes was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.