DR. PHILLIP COREY JACKSON MD PA
NPI 1548227481
Family Medicine in Harrison, AR

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
1417 GLADDEN ST, HARRISON, AR 72601(870) 741-0016(870) 741-4242 Get Directions Write a Review

NPPES record last updated: August 11, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Phillip Corey Jackson Md Pa NPPES

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

DR. PHILLIP COREY JACKSON MD PA (NPI 1548227481) is an individual family medicine provider in Harrison, Arkansas, licensed in Arkansas (E3074) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (2000).

NPPES Registry Identity

NPI1548227481
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PHILLIP COREY JACKSONCredential: MD PA
Location Address1417 GLADDEN STHarrison, AR 72601-5121
Mailing Address1417 Gladden StHarrison, AR 72601-5121 · (870) 741-0016 · Fax (870) 741-4242
Fax(870) 741-4242
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2000
Enumeration DateApril 26, 2006
Last NPPES UpdateAugust 11, 2014
NPI 1548227481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AR · E3074
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.
1417 GLADDEN ST, Harrison, AR 72601

Other Identifiers 4

Other5M007AR · Blue Cross Blue Shield
Medicare PIN5M007AR
Medicare UPINH49747AR
Medicaid146189001AR

Accepted 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

Dr. Phillip Corey Jackson Md Pa 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 ID4082602131
PECOS Enrollment IDI20040505001430
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services26 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72601 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier17 claims17 services$3.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Family Medicine
1417 GLADDEN ST
HARRISON, AR 72601
Nurse Practitioner (Family)
1417 GLADDEN ST
HARRISON, AR 72601
Family Medicine
1417 GLADDEN ST
HARRISON, AR 72601

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 Phillip Jackson's NPI number?

The NPI number for Phillip Jackson is 1548227481. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Phillip Jackson located?

Phillip Jackson practices at 1417 Gladden St, Harrison, AR 72601. The listed phone number is (870) 741-0016.

What is Phillip Jackson's specialty?

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

Is Phillip Jackson enrolled in Medicare?

Yes. Phillip 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 Phillip Jackson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Phillip 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.

When was this NPI record last updated?

The NPPES record for Phillip Jackson was last updated on August 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.