KEVIN JACKSON CAA
NPI 1477925287
Anesthesiologist Assistant in Mayfield Heights, OH

Q: 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.

Q: What is Kevin Jackson's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: 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 10 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.

Active since October 21, 2015Accepts Medicare Assignment

77.32/100

CMS Quality Rating

6780 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124(440) 312-4500 Get Directions Write a Review

NPPES record last updated: October 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

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

NPI1477925287

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameKEVIN JACKSONCredential: CAA

Location Address6780 MAYFIELD RDMayfield Heights, OH 44124-2203

Mailing Address911 Northboro DrMayfield Village, OH 44143-3429

Phone(440) 312-4500

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 21, 2015

✔ NPI 1477925287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in OH · 67.000265

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

6780 MAYFIELD RD, Mayfield Heights, OH 44124

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Jackson Caa 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 ID1557671997

PECOS Enrollment IDI20220421000470

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, GA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110035

Location677 Church StreetMarietta, GA 30060 · Cobb County

Emergency services Birthing friendly

St Francis Hospital- Emory Healthcare

Acute Care Hospitals · Columbus, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110129

Location2122 Manchester ExpresswayColumbus, GA 31995 · Muscogee County

Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110229

Location745 Poplar RoadNewnan, GA 30265 · Coweta County

Emergency services Birthing friendly

Medicare 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.

77.32/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.32

Improvement Activities

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.

MRS. MICHELE CELESTE EDGINGTON C.C.P.

Perfusionist

6780 MAYFIELD RD
MAYFIELD HTS, OH 44124

Cuyahoga County (440) 312-4500

HOWARD A SCHULTZ PA-C

Physician Assistant

6780 MAYFIELD RD
MAYFIELD HTS, OH 44124

Cuyahoga County (440) 449-4500

MIA KATHERINE RIZZO CAA

Anesthesiologist Assistant

6780 MAYFIELD RD
MAYFIELD HEIGHTS, OH 44124

Cuyahoga County (440) 312-4500

HILLCREST DIAGNOSTIC CARDIOLOGY

Internal Medicine (Cardiovascular Disease)

6780 MAYFIELD RD
CLEVELAND, OH 44124

Cuyahoga County (440) 312-4399

DR. CHRISTINE LYNN PROUDFIT MD

Obstetrics & Gynecology (Maternal & Fetal Medicine)

6780 MAYFIELD RD
MAYFIELD HEIGHTS, OH 44124

Cuyahoga County (440) 312-2229

MRS. STEPHANIE MARIE RIVERA MSN, APRN, FNP-C

Nurse Practitioner (Family)

6780 MAYFIELD RD
MAYFIELD HEIGHTS, OH 44124

Cuyahoga County (216) 476-7000

MR. JAMES KUS

Physical Therapist

6780 MAYFIELD RD, REHAB DEPARTMENT
MAYFIELD HTS, OH 44124

Cuyahoga County (440) 312-8560

ALLISON JINDRA CNP

Nurse Practitioner (Obstetrics & Gynecology)

6780 MAYFIELD RD
MAYFIELD HEIGHTS, OH 44124

Cuyahoga County (440) 312-4500

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kevin Jackson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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 10 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.