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LYDIA LANE JACKSON PA C
NPI 1487642161
Physician Assistant in Montgomery, AL

Active since October 07, 2005
215 PERRY HILL RD, MONTGOMERY, AL 36109(334) 272-4670 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lydia Lane Jackson Pa C NPPES

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

LYDIA LANE JACKSON PA C (NPI 1487642161) is an individual physician assistant in Montgomery, Alabama, licensed in Alabama (PA198) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1487642161
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLYDIA LANE JACKSONCredential: PA C
Location Address215 PERRY HILL RDMontgomery, AL 36109-3725
Mailing Address7028 Cross Bend CtMontgomery, AL 36117-2445 · (334) 213-6441
Phone(334) 272-4670
Sole ProprietorNo
Enumeration DateOctober 7, 2005
Last NPPES UpdateJuly 13, 2007
✔ NPI 1487642161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AL · PA198
Definition
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.
215 PERRY HILL RD, Montgomery, AL 36109
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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.

MS. DEBRA FAY MORRIS
Social Worker (Clinical)
215 PERRY HILL RD
MONTGOMERY, AL 36109
Montgomery County (334) 272-4670
MR. AUDWIN DARRELL HARWELL C.O.
Orthotist
215 PERRY HILL RD
MONTGOMERY, AL 36109
Montgomery County (334) 260-4110
BRANDON JERRY BENSON PHARMD
Pharmacist
215 PERRY HILL RD
MONTGOMERY, AL 36109
Montgomery County (334) 272-4670
DR. APRIL A TRUETT M.D.
Internal Medicine (Infectious Disease)
215 PERRY HILL RD
MONTGOMERY, AL 36109
Montgomery County (334) 272-4670
MONJURUL ISLAM M.D.
Internal Medicine
215 PERRY HILL RD
MONTGOMERY, AL 36109
Montgomery County (334) 272-4670
MARIUS D PATTON MSW
Social Worker
215 PERRY HILL RD
MONTGOMERY, AL 36109
Montgomery County (334) 799-7916
MS. BRITTANY LESHELL BORDERS CMSW
Social Worker (Clinical)
215 PERRY HILL RD
MONTGOMERY, AL 36109
Montgomery County (334) 272-4670
DR. FREDERICK AZIZ M.D.
Physical Medicine & Rehabilitation
215 PERRY HILL RD, CAVHCS-MONTGOMERY AND TUSKEGEE CAMPUS
MONTGOMERY, AL 36109
Montgomery County (334) 272-4670

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 Lydia Jackson's NPI number?

The NPI number for Lydia Jackson is 1487642161. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Lydia Jackson located?

Lydia Jackson practices at 215 Perry Hill Rd, Montgomery, AL 36109. The listed phone number is (334) 272-4670.

What is Lydia Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Lydia Jackson was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.