ALEXIS JOAN JACKSON PA-C
NPI 1962026013
Physician Assistant in Vidalia, GA

Q: What is Alexis Jackson's NPI number?

The NPI number for Alexis Jackson is 1962026013. It was assigned to this individual provider in the NPPES registry on June 4, 2020. The provider is also known as Lexi Joan Jackson Pa-C.

Q: What is Alexis Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alexis Jackson was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since June 04, 2020PECOS EnrolledAccepts Medicare Assignment

58.81/100

CMS Quality Rating

303 HARRIS INDUSTRIAL BLVD STE 3, VIDALIA, GA 30474(912) 537-9355(912) 335-4804 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alexis Joan Jackson Pa-c NPPES

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

ALEXIS JOAN JACKSON PA-C (NPI 1962026013) is an individual physician assistant in Vidalia, Georgia, licensed in Georgia (9793) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Candler Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1962026013

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALEXIS JOAN JACKSONCredential: PA-C

Location Address303 HARRIS INDUSTRIAL BLVD STE 3Vidalia, GA 30474-8854

Mailing Address1105 E 50th StSavannah, GA 31404-4021 · (904) 704-7291

Phone(912) 537-9355

Fax(912) 335-4804

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 4, 2020

NPPES CertifiedJune 4, 2020

✔ NPI 1962026013 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 GA · 9793

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.

303 HARRIS INDUSTRIAL BLVD STE 3, Vidalia, GA 30474

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Other Names 1

Other Name (5)Lexi Joan Jackson Pa-c

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

Alexis Joan Jackson 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 ID6800295254

PECOS Enrollment IDI20210604001343

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.

Candler Hospital

Acute Care Hospitals · Savannah, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110024

Location5353 Reynolds StreetSavannah, GA 31412 · Chatham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30474 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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.

58.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

37.88

Promoting Interoperability

Improvement Activities

Cost

33.35

Other Providers at the Same Location NPPES 8

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

JESSI ERICA WOODS

Nurse Practitioner (Family)