WAYNE JEFFERY JACKSON PA
NPI 1750387023
Physician Assistant - Medical in Potsdam, NY

NPI Status: Active since June 22, 2005

Contact Information

50 LEROY ST
POTSDAM, NY
ZIP 13676
Phone: (315) 265-3300

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  • Individual
  • Male
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About WAYNE JACKSON

This page provides the complete NPI Profile along with additional information for Wayne Jackson, a primary care provider established in Potsdam, New York with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1750387023 assigned on June 2005. The practitioner's primary taxonomy code is 363AM0700X with license number 004496 (NY). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1750387023
Provider Name
WAYNE JEFFERY JACKSON PA
Gender
Male
Entity Type
Individual
Location Address
50 LEROY ST POTSDAM, NY 13676
Location Phone
(315) 265-3300
Mailing Address
50 LEROY ST POTSDAM, NY 13676
Mailing Phone
(315) 265-3300
Is Sole Proprietor?
No
Enumeration Date
06-22-2005
Last Update Date
03-31-2021
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A primary care provider (PCP) like Wayne Jackson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 4 Fuller Street River Hospital
    Alexandria Bay, NY 13607
    (315) 482-2511

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
004496
License State
NY

Medicare Participation & PECOS Enrollment Status

Wayne Jackson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Emergency department visit for life threatening or functioning severity

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.

This service was performed 93 times for 90 patients

Emergency department visit for problem of high severity

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.

This service was performed 98 times for 92 patients

Emergency department visit for problem of moderate severity

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

This service was performed 56 times for 56 patients

Reviews for WAYNE JEFFERY JACKSON PA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1750387023, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 0 + 0 + 6 + 8 + 1 + 4 + 0 + 4 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1750387023.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
50 LEROY ST
POTSDAM, NY 13676
Emergency Medicine
50 LEROY ST
POTSDAM, NY 13676
Radiology (Diagnostic Radiology)
50 LEROY ST
POTSDAM, NY 13676
Internal Medicine (Cardiovascular Disease)
50 LEROY ST
POTSDAM, NY 13676
Physician Assistant (Medical)
50 LEROY ST
POTSDAM, NY 13676
Emergency Medicine
50 LEROY ST
POTSDAM, NY 13676
Nurse Practitioner
50 LEROY ST, CANTON POTSDAM HOSPITAL
POTSDAM, NY 13676
Anesthesiology
50 LEROY ST
POTSDAM, NY 13676
Physical Therapist
50 LEROY ST
POTSDAM, NY 13676
Physical Therapy Assistant
50 LEROY ST
POTSDAM, NY 13676
Registered Nurse
50 LEROY ST
POTSDAM, NY 13676
Counselor (Addiction (Substance Use Disorder))
50 LEROY ST
POTSDAM, NY 13676
Nurse Practitioner (Acute Care)
50 LEROY ST
POTSDAM, NY 13676
General Acute Care Hospital
50 LEROY ST
POTSDAM, NY 13676
Physician Assistant
50 LEROY ST
POTSDAM, NY 13676
Social Worker
50 LEROY ST
POTSDAM, NY 13676
Counselor (Mental Health)
50 LEROY ST
POTSDAM, NY 13676
Internal Medicine
50 LEROY ST
POTSDAM, NY 13676
Emergency Medicine
50 LEROY ST
POTSDAM, NY 13676
Emergency Medicine
50 LEROY ST
POTSDAM, NY 13676

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750387023, enumerated as an "individual" on June 22, 2005.

The provider is located at 50 LEROY ST POTSDAM, NY 13676 and the phone number is (315) 265-3300.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.