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KATHLEEN EARLY JACKSON PA
NPI 1750833729
Physician Assistant in Charlotte, NC

Active since October 26, 2016PECOS EnrolledAccepts Medicare Assignment
47.06/100
CMS Quality Rating
10660 PARK RD STE 3100, CHARLOTTE, NC 28210(803) 329-3130 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2025, Jul 15, 2024, Oct 18, 2023 and 1 more (4 updates tracked since 2016).

About Kathleen Early Jackson Pa NPPES

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

KATHLEEN EARLY JACKSON PA (NPI 1750833729) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-13726) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750833729
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHLEEN EARLY JACKSONCredential: PA
Location Address10660 PARK RD STE 3100Charlotte, NC 28210-8420
Mailing Address10660 Park Rd Ste 3100Charlotte, NC 28210-8420
Phone(803) 329-3130
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 26, 2016
Last NPPES UpdateMarch 27, 20254 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1750833729 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 NC · 0010-13726
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.
10660 PARK RD STE 3100, Charlotte, NC 28210
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11025 Morehead Medical Dr, Ste 300Charlotte, NC 28204-2963 · Phone (704) 446-2060
Location 21350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1340

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Kathleen Early Jackson 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 ID5496035362
PECOS Enrollment IDI20240515003852, I20250820000318
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

47.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.05
Promoting Interoperability0
Improvement Activities40
Cost38.82

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
37%155 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
62%133 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 83% · 24 patients
96%24 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 33 patients
0%33 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

LAUREN SEEDLOCK
Student in an Organized Health Care Education/Training Program
10660 PARK RD STE 3100
CHARLOTTE, NC 28210
Mecklenburg County (704) 863-4878
KRISTEN ANN ALECCIA PA-C
Physician Assistant
10660 PARK RD STE 3100
CHARLOTTE, NC 28210
Mecklenburg County (704) 863-4878
MACKENZIE LEIGH GOSNELL PA-C
Physician Assistant
10660 PARK RD STE 3100
CHARLOTTE, NC 28210
Mecklenburg County (704) 863-4878

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 Kathleen Jackson's NPI number?

The NPI number for Kathleen Jackson is 1750833729. It was assigned to this individual provider in the NPPES registry on October 26, 2016.

Where is Kathleen Jackson located?

Kathleen Jackson practices at 10660 Park Rd Ste 3100, Charlotte, NC 28210. The listed phone number is (803) 329-3130.

What is Kathleen Jackson's specialty?

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

Is Kathleen Jackson enrolled in Medicare?

Yes. Kathleen 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 Kathleen Jackson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Kathleen 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 Kathleen Jackson affiliated with any hospitals?

According to CMS data, Kathleen Jackson is affiliated with Atrium Health Pineville and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Kathleen Jackson was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.