Randy Jackson, PA-C
NPI 1508825357 · Physician Assistant · Millinocket, ME
Randy Jackson, PA-C is a Physician Assistant provider in Millinocket, ME (NPI 1508825357).
Provider details
- NPI number
- 1508825357
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA-028 (ME)
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
20 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
- 2006-03-21
- Last updated
- 2013-02-11
Frequently asked questions
- What is Randy Jackson's NPI number?
- Randy Jackson's National Provider Identifier (NPI) is 1508825357, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randy Jackson's specialty?
- Randy Jackson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Randy Jackson located?
- Randy Jackson's practice location on file with NPPES is 200 Somerset St, Millinocket, ME 04462-1258.
- What is Randy Jackson's phone number?
- The practice phone number listed in the NPPES registry for Randy Jackson is (207) 723-5173.
- Is Randy Jackson's NPI active?
- Yes — Randy Jackson's NPI (1508825357) is active in the NPPES registry as of the last update on 2013-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.