DR. LYNDA JACKSON-ASSAD
NPI 1790729119
Pediatrics in Jackson, MS

Q: What is Lynda Jackson-assad's NPI number?

The NPI number for Lynda Jackson-assad is 1790729119. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Q: What is Lynda Jackson-assad's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since June 15, 2006PECOS Enrolled

3502 W NORTHSIDE DR, JACKSON, MS 39213(601) 362-5321(601) 364-2600 Get Directions Write a Review

NPPES record last updated: December 20, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Lynda Jackson-assad NPPES

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

DR. LYNDA JACKSON-ASSAD (NPI 1790729119) is an individual pediatrics provider in Jackson, Mississippi, licensed in Mississippi (13035) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790729119

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. LYNDA JACKSON-ASSAD

Location Address3502 W NORTHSIDE DRJackson, MS 39213-4454

Mailing Address3502 W Northside DrJackson, MS 39213-4454 · (601) 362-5321 · Fax (601) 364-2600

Phone(601) 362-5321

Fax(601) 364-2600

Sole ProprietorNo

Enumeration DateJune 15, 2006

Last NPPES UpdateDecember 20, 2007

✔ NPI 1790729119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MS · 13035

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3502 W NORTHSIDE DR, Jackson, MS 39213

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Other Identifiers 2

Medicaid00115979MS

Medicare UPING43764MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lynda Jackson-assad is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Lynda Jackson-assad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Mississippi Civic Improvement Association, Inc

Same address

Federally Qualified Health Center (FQHC)

3502 W NORTHSIDE DR
Jackson, MS 39213

Reassigned Medicare billing, Mississippi enrollment
69 clinicians in this Medicare group

NPI 1134151442 (601) 362-5321

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39213 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

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. TIFFANI RICCHELE MCKNIGHT

Social Worker (Clinical)