DOMINIQUE L. JACKSON DMSC, PA-C
NPI 1841054392
Physician Assistant in Kings Mountain, NC

Active since February 06, 2024PECOS EnrolledAccepts Medicare Assignment
812 W KING ST, KINGS MOUNTAIN, NC 28086(704) 739-5456(704) 739-5271 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2025, Mar 10, 2025, Jul 10, 2024 and 1 more (4 updates tracked since 2024).

About Dominique L. Jackson Dmsc, Pa-c NPPES

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

DOMINIQUE L. JACKSON DMSC, PA-C (NPI 1841054392) is an individual physician assistant in Kings Mountain, North Carolina, licensed in North Carolina (0010-14318) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1841054392
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDOMINIQUE L. JACKSONCredential: DMSC, PA-C
Location Address812 W KING STKings Mountain, NC 28086-2748
Mailing Address200 E 2nd AveGastonia, NC 28052-4358
Fax(704) 739-5271
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 6, 2024
Last NPPES UpdateNovember 11, 20254 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
NPI 1841054392 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 · 0010-14318
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.

812 W KING ST, Kings Mountain, NC 28086

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

Dominique L. Jackson Dmsc, Pa-c 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 ID3779020995
PECOS Enrollment IDI20240806003032
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

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

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28086 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 7

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

Social Worker (Clinical)
812 W KING ST
KINGS MOUNTAIN, NC 28086
Counselor (Mental Health)
812 W KING ST
KINGS MOUNTAIN, NC 28086
Nurse Practitioner (Family)
812 W KING ST
KINGS MOUNTAIN, NC 28086
Nurse Practitioner (Family)
812 W KING ST
KINGS MOUNTAIN, NC 28086
Pharmacist
812 W KING ST
KINGS MOUNTAIN, NC 28086
Nurse Practitioner (Family)
812 W KING ST
KINGS MTN, NC 28086
Clinic/Center (Federally Qualified Health Center (FQHC))
812 W KING ST
KINGS MOUNTAIN, NC 28086

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 Dominique Jackson's NPI number?

The NPI number for Dominique Jackson is 1841054392. It was assigned to this individual provider in the NPPES registry on February 6, 2024.

Where is Dominique Jackson located?

Dominique Jackson practices at 812 W King St, Kings Mountain, NC 28086. The listed phone number is (704) 739-5456.

What is Dominique Jackson's specialty?

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

Is Dominique Jackson enrolled in Medicare?

Yes. Dominique 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 Dominique Jackson accept?

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

According to CMS data, Dominique Jackson is affiliated with Atrium Health Cleveland.

When was this NPI record last updated?

The NPPES record for Dominique Jackson was last updated on November 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.