Samantha Jackson, PAC
NPI 1801191754 · Physician Assistant · Reidsville, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samantha Jackson, PAC is a Physician Assistant provider in Reidsville, NC (NPI 1801191754).
Provider details
- NPI number
- 1801191754
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- 0010-02724 (NC)
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
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
190 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 55 | $101 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 34 | $14 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 32 | $103 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 30 | $13 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 23 | $11 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 106 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 325 | 79 |
| Levothyroxine Sodium | 189 | 41 |
| Amlodipine Besylate | 181 | 50 |
| Alprazolam | 156 | 45 |
| Lisinopril | 143 | 34 |
| Omeprazole | 118 | 34 |
| Metformin Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$495 across 29 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 (1)
- 1510 Nc Highway 68 NOak Ridge, NC 27310-9733Phone: (336) 644-0111Fax: (336) 268-3119
Registry dates
- Enumerated
- 2011-01-24
- Last updated
- 2025-09-04
- Certified
- 2025-09-04
Frequently asked questions
- What is Samantha Jackson's NPI number?
- Samantha Jackson's National Provider Identifier (NPI) is 1801191754, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Jackson's specialty?
- Samantha Jackson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Samantha Jackson located?
- Samantha Jackson's practice location on file with NPPES is 1818 Richardson Dr, Reidsville, NC 27320-5451.
- What is Samantha Jackson's phone number?
- The practice phone number listed in the NPPES registry for Samantha Jackson is (336) 349-5040.
- Does Samantha Jackson accept Medicare?
- Samantha Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samantha Jackson's NPI active?
- Yes — Samantha Jackson's NPI (1801191754) is active in the NPPES registry as of the last update on 2025-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.