Micah Jackson, PA
NPI 1558665703 · Physician Assistant · Tyler, TX
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Micah Jackson, PA is a Physician Assistant provider in Tyler, TX (NPI 1558665703).
Provider details
- NPI number
- 1558665703
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA06963 (TX)
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 tenure33% of score
15 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$22 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-01-03
- Last updated
- 2016-04-19
Frequently asked questions
- What is Micah Jackson's NPI number?
- Micah Jackson's National Provider Identifier (NPI) is 1558665703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Micah Jackson's specialty?
- Micah Jackson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Micah Jackson located?
- Micah Jackson's practice location on file with NPPES is 1814 Roseland Blvd, Tyler, TX 75701-4234.
- What is Micah Jackson's phone number?
- The practice phone number listed in the NPPES registry for Micah Jackson is (903) 592-6000.
- Does Micah Jackson accept Medicare?
- Micah Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Micah Jackson's NPI active?
- Yes — Micah Jackson's NPI (1558665703) is active in the NPPES registry as of the last update on 2016-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.