Kodi Jackson, PA
NPI 1588373716 · Physician Assistant · Jackson, MS
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kodi Jackson, PA is a Physician Assistant provider in Jackson, MS (NPI 1588373716).
Provider details
- NPI number
- 1588373716
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
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 tenure25% of score
3 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
400 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 124 | $81 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 112 | $61 |
| Anticoagulant Management of Patient Taking Warfarin93793 | 52 | $9 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 45 | $81 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 38 | $132 |
| Blood Test, Clotting Time85610 | 29 | $4 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 61 | 40 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 34 | 17 |
| Metoprolol Succinate | 25 | 14 |
| Nifedipinebrand: Nifedipine Er | 23 | 11 |
| Carvedilol | 21 | 13 |
| Losartan Potassium | 20 | 15 |
| Pantoprazole Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$360 across 14 records (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
Additional practice locations (2)
- 971 Lakeland Dr Ste 657Jackson, MS 39216-4608Phone: (601) 200-2780Fax: (601) 200-2788
- 971 Lakeland Dr Ste 356Jackson, MS 39216-4607Phone: (601) 200-4644Fax: (601) 200-4645
Registry dates
- Enumerated
- 2022-11-16
- Last updated
- 2025-11-03
- Certified
- 2025-11-03
Frequently asked questions
- What is Kodi Jackson's NPI number?
- Kodi Jackson's National Provider Identifier (NPI) is 1588373716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kodi Jackson's specialty?
- Kodi Jackson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kodi Jackson located?
- Kodi Jackson's practice location on file with NPPES is 969 Lakeland Dr, Jackson, MS 39216-4606.
- What is Kodi Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kodi Jackson is (601) 200-3631.
- Does Kodi Jackson accept Medicare?
- Kodi Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kodi Jackson's NPI active?
- Yes — Kodi Jackson's NPI (1588373716) is active in the NPPES registry as of the last update on 2025-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.