Kenneth Jackson, PA
NPI 1194587824 · Physician Assistant · Corbin, KY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Jackson, PA is a Physician Assistant provider in Corbin, KY (NPI 1194587824).
Provider details
- NPI number
- 1194587824
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- License
- TC075 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-01-29
- Last updated
- 2024-10-11
- Certified
- 2024-10-11
Frequently asked questions
- What is Kenneth Jackson's NPI number?
- Kenneth Jackson's National Provider Identifier (NPI) is 1194587824, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Jackson's specialty?
- Kenneth Jackson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenneth Jackson located?
- Kenneth Jackson's practice location on file with NPPES is 2 Trillium Way Ste 106, Corbin, KY 40701-8426.
- What is Kenneth Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Jackson is (606) 526-4070.
- Does Kenneth Jackson accept Medicare?
- Kenneth Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Jackson's NPI active?
- Yes — Kenneth Jackson's NPI (1194587824) is active in the NPPES registry as of the last update on 2024-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.