KEVIN JACKSON CAA
NPI 1477925287
Anesthesiologist Assistant in Mayfield Heights, OH
About Kevin Jackson Caa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN JACKSON CAA (NPI 1477925287) is an individual anesthesiologist assistant in Mayfield Heights, Ohio, licensed in Ohio (67.000265) and active in the NPI registry since October 2015. He is affiliated with Wellstar Kennestone Regional Medical Center and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kevin Jackson Caa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
7Medicare enrollment records show Kevin Jackson reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Canton, GA 30114
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Kennesaw, GA 30152
- Reassigned Medicare billing, Georgia enrollment
- 629 clinicians in this Medicare group
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 771 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 713 clinicians in this Medicare group
Newnan, GA 30265
- Reassigned Medicare billing, Georgia enrollment
- 729 clinicians in this Medicare group
Columbus, GA 31909
- Reassigned Medicare billing, Georgia enrollment
- 110 clinicians in this Medicare group
Columbus, GA 31904
- Reassigned Medicare billing, Georgia enrollment
- 52 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellstar Kennestone Regional Medical Center
Acute Care Hospitals · Marietta, GASt Francis Hospital- Emory Healthcare
Acute Care Hospitals · Columbus, GAPiedmont Newnan Hospital, Inc
Acute Care Hospitals · Newnan, GAMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLEVELAND, OH 44124
MAYFIELD HEIGHTS, OH 44124
MAYFIELD HEIGHTS, OH 44124
MAYFIELD HEIGHTS, OH 44124
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 Kevin Jackson's NPI number?
The NPI number for Kevin Jackson is 1477925287. It was assigned to this individual provider in the NPPES registry on October 21, 2015.
Where is Kevin Jackson located?
Kevin Jackson practices at 6780 Mayfield Rd, Mayfield Heights, OH 44124. The listed phone number is (440) 312-4500.
What is Kevin Jackson's specialty?
The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.
Is Kevin Jackson enrolled in Medicare?
Yes. Kevin Jackson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kevin Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Jackson reassigns Medicare benefits to 7 organizations: Wellstar Medical Group, LLC (Canton, GA), Mak Anesthesia Holdings LLC (Kennesaw, GA), Grady Memorial Hospital Corporation (Atlanta, GA), Piedmont Anesthesia LLC (Stockbridge, GA), Sentry Anesthesia Management, LLC (Newnan, GA) 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 Kevin Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kevin Jackson accept?
Health plans from Oscar Health list Kevin Jackson 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.
Is Kevin Jackson affiliated with any hospitals?
According to CMS data, Kevin Jackson is affiliated with Wellstar Kennestone Regional Medical Center, St Francis Hospital- Emory Healthcare and Piedmont Newnan Hospital, Inc.
When was this NPI record last updated?
The NPPES record for Kevin Jackson was last updated on October 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kevin Jackson, CAA · NPI 1477925287
Anesthesiologist Assistant physician in Mayfield Heights, Ohio. Individual provider, active in the CMS NPPES registry since October 21, 2015.
## Identity
- **NPI:** 1477925287 (Entity type: Individual)
- **Enumerated:** October 21, 2015
- **Primary specialty:** Anesthesiologist Assistant · taxonomy 367H00000X
- **State license:** 67.000265 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 6780 MAYFIELD RD, Mayfield Heights, OH 44124-2203
- **Phone:** (440) 312-4500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Wellstar Medical Group, LLC (NPI 1386054278, Canton, GA); Mak Anesthesia Holdings LLC (NPI 1912452939, Kennesaw, GA); Grady Memorial Hospital Corporation (NPI 1114243813, Atlanta, GA); Piedmont Anesthesia LLC (NPI 1700474244, Stockbridge, GA); Sentry Anesthesia Management, LLC (NPI 1134544794, Newnan, GA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 21, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1477925287) · Data from the CMS NPPES public registry.