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MRS. SAMANTHA JACKSON PAC
NPI 1801191754
Physician Assistant in Reidsville, NC

Active since January 24, 2011PECOS EnrolledAccepts Medicare Assignment
1818 RICHARDSON DR, REIDSVILLE, NC 27320(336) 349-5040(336) 369-5366 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Samantha Jackson Pac NPPES

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

MRS. SAMANTHA JACKSON PAC (NPI 1801191754) is an individual physician assistant in Reidsville, North Carolina, licensed in North Carolina (0010-02724) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and maintains a secondary practice location in Oak Ridge.

NPPES Registry Identity

NPI1801191754
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. SAMANTHA JACKSONCredential: PAC
Location Address1818 RICHARDSON DRReidsville, NC 27320-5451
Mailing Address1818 Richardson DrReidsville, NC 27320-5451 · (336) 349-5040 · Fax (336) 369-5366
Phone(336) 349-5040
Fax(336) 369-5366
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 24, 2011
Last NPPES UpdateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
✔ NPI 1801191754 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 · 0010-02724
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.
1818 RICHARDSON DR, Reidsville, NC 27320
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Secondary Practice Location 1

Location 11510 Nc Highway 68 NOak Ridge, NC 27310-9733 · Phone (336) 644-0111 · Fax (336) 268-3119

Other Identifiers 1

Medicaid89163RENC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.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

Mrs. Samantha Jackson Pac 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 ID4688855646
PECOS Enrollment IDI20110223000939
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 5

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.
55 services34 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
34 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
32 services32 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
23 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27320 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.

Other Providers at the Same Location NPPES 10

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

JOHN C GOLDING M.D.
Family Medicine
1818 RICHARDSON DR
REIDSVILLE, NC 27320
Rockingham County (336) 349-5040
BELMONT MEDICAL ASSOCIATES PLLC
Family Medicine
1818 RICHARDSON DR, STE A
REIDSVILLE, NC 27320
Rockingham County (336) 349-5040
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
1818 RICHARDSON DR, SUITE C
REIDSVILLE, NC 27320
Rockingham County (336) 349-2363
MARK A. JENKINS, MD
Specialist
1818 RICHARDSON DR, SUITE E
REIDSVILLE, NC 27320
Rockingham County (336) 634-0095
DR. MARK A JENKINS M.D.
Surgery
1818 RICHARDSON DR, SUITE E
REIDSVILLE, NC 27320
Rockingham County (336) 634-0095
NORTHERN TRIAD SURGICAL ASSOCIATES, PLLC
Surgery
1818 RICHARDSON DR, STE. E
REIDSVILLE, NC 27320
Rockingham County (336) 634-0095
MOSES CONE PHYSICIAN SERVICES, INC
Urology
1818 RICHARDSON DR, STE F
REIDSVILLE, NC 27320
Rockingham County (336) 342-4791
BRENT CHRISTIAN ZIEGLER MD
Surgery
1818 RICHARDSON DR, SUITE E
REIDSVILLE, NC 27320
Rockingham County (336) 634-0095

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 Samantha Jackson's NPI number?

The NPI number for Samantha Jackson is 1801191754. It was assigned to this individual provider in the NPPES registry on January 24, 2011.

Where is Samantha Jackson located?

Samantha Jackson practices at 1818 Richardson Dr, Reidsville, NC 27320. The listed phone number is (336) 349-5040.

What is Samantha Jackson's specialty?

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

Is Samantha Jackson enrolled in Medicare?

Yes. Samantha 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 Samantha Jackson accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Samantha 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 Samantha Jackson affiliated with any hospitals?

According to CMS data, Samantha Jackson is affiliated with Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Samantha Jackson was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.